Claim total
$1,067.29
base $93.39 · payer covered $1,067.29
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1996-12-30
- Stop
- 1996-12-30
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Rosio Gleason
Record id
062f00f9-5db0-55c4-8185-9bed6a122520