Claim total
$949.77
base $127.17 · payer covered $847.37
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 1989-12-16
- Stop
- 1989-12-16
The parties
- Patient
- patient Elbert Rod Lemke
- Provider
- provider Marquerite Swaniawski
- Payer
- payer Medicaid
Record id
039e51d1-c563-811d-7fc5-0dffe8599777