Claim total
$672.67
base $93.39 · payer covered $672.67
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1996-06-26
- Stop
- 1996-06-27
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Hazel Effertz
Record id
062f00f9-5db0-55c4-a467-7c16e7da0be4