Claim total
$1,069.79
base $93.39 · payer covered $1,069.79
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2021-02-14
- Stop
- 2021-02-14
The parties
- Patient
- patient Christel Torp
- Provider
- provider Marcus Douglas
Record id
00edd987-99b7-13d9-8274-0d95f0a0cff5