Claim total
$775.84
base $93.39 · payer covered $775.84
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1997-10-28
- Stop
- 1997-10-28
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Hazel Effertz
Record id
062f00f9-5db0-55c4-c84d-91565aa5e872