Claim total
$1,519.29
base $93.39 · payer covered $1,519.29
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2018-11-04
- Stop
- 2018-11-04
The parties
- Patient
- patient Christel Torp
- Provider
- provider Liz Kozey
Record id
00edd987-99b7-13d9-1cee-756a2f4d0a8b