Claim total
$1,088.84
base $93.39 · payer covered $1,088.84
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1999-12-23
- Stop
- 1999-12-23
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Hazel Effertz
Record id
062f00f9-5db0-55c4-37ba-f8129aa3e7b0