Claim total
$781.75
base $93.39 · payer covered $781.75
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1998-02-04
- Stop
- 1998-02-04
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Andria Spinka
Record id
062f00f9-5db0-55c4-c9fa-c22c5af9d875