Claim total
$966.10
base $93.39 · payer covered $966.10
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2017-07-14
- Stop
- 2017-07-14
The parties
- Patient
- patient Christel Torp
- Provider
- provider Liz Kozey
Record id
00edd987-99b7-13d9-c6fa-acedee7e7f9a