Claim total
$157.11
base $93.83 · payer covered $109.98
The visit
- Class
- Wellness
- Code
- 308646001
- Reason
- diagnosis concept End-stage renal disease46177005
- Start
- 2004-11-19
- Stop
- 2004-11-19
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Criselda Bartell
Record id
062f00f9-5db0-55c4-5d59-213fc7afea0b