Claim total
$1,091.43
base $93.39 · payer covered $1,091.43
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2017-06-07
- Stop
- 2017-06-07
The parties
- Patient
- patient Christel Torp
- Provider
- provider Floyd Toy
Record id
00edd987-99b7-13d9-a5cf-cb5b758e363b