Claim total
$874.93
base $93.39 · payer covered $612.45
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1997-02-24
- Stop
- 1997-02-24
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Criselda Bartell
Record id
062f00f9-5db0-55c4-aa82-0313be5214d7