Claim total
$1,311.57
base $93.39 · payer covered $1,049.25
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2024-02-16
- Stop
- 2024-02-16
The parties
- Patient
- patient Mickey Adalberto Yost
- Provider
- provider Criselda Bartell
- Payer
- payer Medicare
Record id
0644c3ae-21ed-d13a-1b4f-7d8f8aa5c846