Claim total
$538.47
base $127.17 · payer covered $488.47
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of knee125601008
- Start
- 2022-08-23
- Stop
- 2022-08-24
The parties
- Patient
- patient Bryan Emmerich
- Provider
- provider Marquerite Swaniawski
- Payer
- payer Medicaid
Record id
06c81a77-06de-31ce-44b7-016e541d278c