Claim total
$703.53
base $93.39 · payer covered $703.53
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2021-12-15
- Stop
- 2021-12-15
The parties
- Patient
- patient Christel Torp
- Provider
- provider Silas Conn
Record id
00edd987-99b7-13d9-668e-801174d43155