Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Burn injury48333001
- Start
- 2023-04-08
- Stop
- 2023-04-08
The parties
- Patient
- patient Herb Dennis Cronin
- Provider
- provider Raymond Ebert
- Care site
- care site CARONDELET VILLAGE CARE CENTER
Record id
063478ae-8114-83fa-a1c4-b1ca27ae5acf