Claim total
$614.58
base $93.39 · payer covered $614.58
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1997-05-22
- Stop
- 1997-05-22
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Rosio Gleason
Record id
062f00f9-5db0-55c4-2312-5c7a0dc1b1fe