Claim total
$11,611.50
base $127.17 · payer covered $9,289.20
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2023-06-05
- Stop
- 2023-06-05
The parties
- Patient
- patient Chung Spinka
- Provider
- provider Allan Rowe
- Payer
- payer Medicare
Record id
0453bbfc-4b53-3293-372f-40d5e99fcfd6