Claim total
$741.14
base $93.39 · payer covered $741.14
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2017-08-30
- Stop
- 2017-08-30
The parties
- Patient
- patient Christel Torp
- Provider
- provider Liz Kozey
Record id
00edd987-99b7-13d9-c475-c62970e37809