Claim total
$1,746.54
base $93.39 · payer covered $1,222.57
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2019-05-08
- Stop
- 2019-05-08
The parties
- Patient
- patient Christel Torp
- Provider
- provider Floyd Toy
Record id
00edd987-99b7-13d9-f86b-3585c02295ae