Claim total
$689.59
base $93.39 · payer covered $689.59
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2017-03-22
- Stop
- 2017-03-22
The parties
- Patient
- patient Christel Torp
- Provider
- provider Liz Kozey
Record id
00edd987-99b7-13d9-566b-a2f2410216a6