Claim total
$28,341.26
base $127.17 · payer covered $28,341.26
The visit
- Class
- Inpatient
- Code
- 183495009
- Reason
- diagnosis concept Injury of anterior cruciate ligament444470001
- Start
- 2017-03-29
- Stop
- 2017-04-05
The parties
- Patient
- patient Christel Torp
- Provider
- provider Lon Quitzon
Record id
00edd987-99b7-13d9-344f-c04498149963