Claim total
$562.55
base $93.39 · payer covered $562.55
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2017-12-15
- Stop
- 2017-12-15
The parties
- Patient
- patient Christel Torp
- Provider
- provider Silas Conn
Record id
00edd987-99b7-13d9-0281-9fa831375156