Claim total
$1,132.07
base $93.39 · payer covered $1,132.07
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2018-01-15
- Stop
- 2018-01-15
The parties
- Patient
- patient Christel Torp
- Provider
- provider Liz Kozey
Record id
00edd987-99b7-13d9-c59d-742a3600d8a1