Claim total
$675.04
base $93.39 · payer covered $675.04
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1997-12-27
- Stop
- 1997-12-27
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Kelvin Reichel
Record id
062f00f9-5db0-55c4-f56c-dbdfc00632e4