Claim total
$601.75
base $127.17 · payer covered $601.75
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- —
- Start
- 2014-12-07
- Stop
- 2014-12-07
The parties
- Patient
- patient Amelia Danyel Hintz
- Provider
- provider Allan Rowe
- Payer
- payer Humana
Record id
007ab53b-1293-c7a9-6201-4439b936b30e