Claim total
$949.77
base $127.17 · payer covered $759.82
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2020-04-03
- Stop
- 2020-04-03
The parties
- Patient
- patient Vannessa Suk Paucek
- Provider
- provider Bennie O'Keefe
- Payer
- payer Medicare
Record id
0797d401-bad3-3145-55bb-e6e924612335