Claim total
$574.65
base $93.39 · payer covered $574.65
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2019-07-12
- Stop
- 2019-07-12
The parties
- Patient
- patient Christel Torp
- Provider
- provider Liz Kozey
Record id
00edd987-99b7-13d9-5edc-af8b0a3fb26a