Claim total
$712.14
base $93.39 · payer covered $569.71
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2024-07-15
- Stop
- 2024-07-15
The parties
- Patient
- patient Mickey Adalberto Yost
- Provider
- provider Rosio Gleason
- Payer
- payer Medicare
Record id
0644c3ae-21ed-d13a-0eef-514221eec102