Claim total
$621.72
base $93.39 · payer covered $621.72
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1999-05-19
- Stop
- 1999-05-19
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Andria Spinka
Record id
062f00f9-5db0-55c4-8f81-8e95a5ad09b7