Claim total
$1,190.47
base $93.39 · payer covered $1,190.47
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2019-10-20
- Stop
- 2019-10-20
The parties
- Patient
- patient Christel Torp
- Provider
- provider Marcus Douglas
Record id
00edd987-99b7-13d9-2a51-db9f7e03b67d