Claim total
$761.98
base $93.39 · payer covered $761.98
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1999-06-10
- Stop
- 1999-06-10
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Hazel Effertz
Record id
062f00f9-5db0-55c4-64c7-49fcbf6f7e5c