Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Burn injury48333001
- Start
- 1983-04-24
- Stop
- 1983-04-24
The parties
- Patient
- patient Luis Block
- Provider
- provider Elisabeth Smith
- Payer
- payer No insurance
Record id
081ceedd-df07-7c20-5487-8804e8770a15