Claim total
$3,668.70
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2017-11-20
- Stop
- 2017-11-20
The parties
- Patient
- patient Terrell Doyle Heller
- Provider
- provider Reginald Bruen
- Payer
- payer Humana
Record id
0638f9ad-338f-7ad3-0df4-4414ede58fe8