Claim total
$904.02
base $93.39 · payer covered $904.02
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2020-10-12
- Stop
- 2020-10-12
The parties
- Patient
- patient Christel Torp
- Provider
- provider Liz Kozey
Record id
00edd987-99b7-13d9-99b1-155919183f6c