Claim total
$1,569.15
base $93.39 · payer covered $1,569.15
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1997-01-30
- Stop
- 1997-01-30
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Lovie Turcotte
Record id
062f00f9-5db0-55c4-e522-d3d50c37fc96