Claim total
$1,264.81
base $93.39 · payer covered $1,264.81
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1997-12-20
- Stop
- 1997-12-20
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Kelvin Reichel
Record id
062f00f9-5db0-55c4-07a2-ac4681b9eaaa