Claim total
$643.91
base $93.39 · payer covered $515.13
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2025-11-24
- Stop
- 2025-11-24
The parties
- Patient
- patient Mickey Adalberto Yost
- Provider
- provider Andria Spinka
- Payer
- payer Medicare
Record id
0644c3ae-21ed-d13a-25bf-a3b10168fadd