Claim total
$873.81
base $93.39 · payer covered $699.05
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2025-01-25
- Stop
- 2025-01-25
The parties
- Patient
- patient Mickey Adalberto Yost
- Provider
- provider Ramiro Boehm
- Payer
- payer Medicare
Record id
0644c3ae-21ed-d13a-0cd3-cd87fdd05ba1