Claim total
$157.11
base $93.83 · payer covered $125.68
The visit
- Class
- Wellness
- Code
- 308646001
- Reason
- diagnosis concept End-stage renal disease46177005
- Start
- 2016-02-21
- Stop
- 2016-02-21
The parties
- Patient
- patient Lesia Catalina Ledner
- Provider
- provider Jesse Turner
- Payer
- payer Medicare
Record id
058279b6-7701-4823-143d-b88ac2118328