Claim total
$532.08
base $93.39 · payer covered $532.08
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2017-03-25
- Stop
- 2017-03-25
The parties
- Patient
- patient Christel Torp
- Provider
- provider Marcus Douglas
Record id
00edd987-99b7-13d9-bb9c-9bae58b2716a