Claim total
$742.66
base $93.39 · payer covered $742.66
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1997-07-11
- Stop
- 1997-07-11
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Criselda Bartell
Record id
062f00f9-5db0-55c4-aeee-c741e4221d52