Claim total
$1,250.75
base $93.39 · payer covered $1,000.60
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2024-04-28
- Stop
- 2024-04-28
The parties
- Patient
- patient Mickey Adalberto Yost
- Provider
- provider Criselda Bartell
- Payer
- payer Medicare
Record id
0644c3ae-21ed-d13a-20c1-67e6dbc61e2b