Claim total
$1,336.08
base $93.39 · payer covered $1,068.86
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2000-09-14
- Stop
- 2000-09-14
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Kim Lind
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-bce2-a37e3a8b02ff