Claim total
$796.62
base $93.39 · payer covered $796.62
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2018-06-19
- Stop
- 2018-06-20
The parties
- Patient
- patient Christel Torp
- Provider
- provider Floyd Toy
Record id
00edd987-99b7-13d9-6093-94d626027880