Claim total
$16,569.23
base $127.17 · payer covered $13,255.39
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2016-07-05
- Stop
- 2016-07-06
The parties
- Patient
- patient Garland Thiel
- Provider
- provider Bennie O'Keefe
- Payer
- payer Medicare
Record id
02ec371b-21cc-5c35-f19f-5e414c7add49