Claim total
$10,275.86
base $127.17 · payer covered $8,220.69
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 1993-05-08
- Stop
- 1993-05-08
The parties
- Patient
- patient Trena Melia Rempel
- Provider
- provider Raymond Ebert
- Care site
- care site CARONDELET VILLAGE CARE CENTER
- Payer
- payer Medicare
Record id
08f81ff0-ea1a-59df-bac7-56093b49413e