Claim total
$780.79
base $93.39 · payer covered $780.79
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1997-06-10
- Stop
- 1997-06-10
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Janice Huel
Record id
062f00f9-5db0-55c4-9234-ef0cd669d7d8