Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 183478001
- Reason
- diagnosis concept Asthma195967001
- Start
- 2016-06-25
- Stop
- 2016-06-25
The parties
- Patient
- patient Eliseo Stewart Baumbach
- Provider
- provider Sonny Zboncak
- Care site
- care site CREST VIEW LUTHERAN HOME
- Payer
- payer Medicare
Record id
047697e3-dcee-86e1-645c-51cc20ae1175