Claim total
$617.17
base $93.39 · payer covered $617.17
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept End-stage renal disease46177005
- Start
- 2016-01-31
- Stop
- 2016-01-31
The parties
- Patient
- patient Amelia Danyel Hintz
- Provider
- provider Altagracia Rippin
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
007ab53b-1293-c7a9-f009-15346961dd12