Claim total
$764.24
base $93.39 · payer covered $764.24
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1997-05-07
- Stop
- 1997-05-07
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Criselda Bartell
Record id
062f00f9-5db0-55c4-ee1d-9c0eaf06f657