Claim total
$127.17
base $127.17 · payer covered $77.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 2024-12-29
- Stop
- 2024-12-29
The parties
- Patient
- patient Basil Josef Bosco
- Provider
- provider Allan Rowe
- Payer
- payer Medicaid
Record id
03478e49-59cf-7140-36e1-c32508ea1807