Claim total
$1,058.78
base $93.39 · payer covered $741.14
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1998-02-23
- Stop
- 1998-02-23
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Janice Huel
Record id
062f00f9-5db0-55c4-fef3-0f98a9297643