Claim total
$1,577.84
base $93.39 · payer covered $1,262.27
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2024-01-28
- Stop
- 2024-01-28
The parties
- Patient
- patient Mickey Adalberto Yost
- Provider
- provider Andria Spinka
- Payer
- payer Medicare
Record id
0644c3ae-21ed-d13a-0dbd-8493785e85fe