Claim total
$949.77
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2022-06-15
- Stop
- 2022-06-15
The parties
- Patient
- patient Raul Felton Boyle
- Provider
- provider Sonny Zboncak
- Care site
- care site CREST VIEW LUTHERAN HOME
- Payer
- payer Aetna
Record id
0def8ea4-26a6-f513-a57b-ebb6e3425acc