Claim total
$962.18
base $76.30 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 185347001
- Reason
- diagnosis concept Sepsis91302008
- Start
- 1994-07-13
- Stop
- 1994-07-22
The parties
- Patient
- patient Cristy Exie Pouros
- Provider
- provider Emerson Jast
- Care site
- care site SOUTHSIDE COMMUNITY CLINIC
- Payer
- payer No insurance
Record id
034e20ab-aae7-ddf8-9355-c0cbe1c32859