Claim total
$1,565.96
base $93.39 · payer covered $1,565.96
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1997-06-13
- Stop
- 1997-06-13
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Kelvin Reichel
Record id
062f00f9-5db0-55c4-23f9-41def99935e9