Claim total
$658.99
base $93.39 · payer covered $658.99
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1997-12-05
- Stop
- 1997-12-05
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Rosio Gleason
Record id
062f00f9-5db0-55c4-9727-2556a44c919a