Claim total
$1,168.10
base $155.66 · payer covered $817.68
The visit
- Class
- Ambulatory
- Code
- 439740005
- Reason
- diagnosis concept History of renal transplant161665007
- Start
- 2000-04-07
- Stop
- 2000-04-07
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Lovie Turcotte
Record id
062f00f9-5db0-55c4-1057-8fa44a0e72b4