Claim total
$867.86
base $93.39 · payer covered $694.29
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2025-09-01
- Stop
- 2025-09-01
The parties
- Patient
- patient Mickey Adalberto Yost
- Provider
- provider Hazel Effertz
- Payer
- payer Medicare
Record id
0644c3ae-21ed-d13a-11c3-91d4f05ccaed