Claim total
$219.95
base $93.39 · payer covered $219.95
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1997-02-05
- Stop
- 1997-02-05
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Criselda Bartell
Record id
062f00f9-5db0-55c4-aaa5-68d4805b0393