Claim total
$631.25
base $93.39 · payer covered $631.25
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1995-12-29
- Stop
- 1995-12-29
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Kim Lind
Record id
062f00f9-5db0-55c4-fd59-56f398b682f8