Claim total
$4,854.63
base $127.17 · payer covered $4,804.63
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2026-02-13
- Stop
- 2026-02-13
The parties
- Patient
- patient Aron Jon Steuber
- Provider
- provider Sonny Zboncak
- Care site
- care site CREST VIEW LUTHERAN HOME
- Payer
- payer Medicaid
Record id
0e80cbd8-3263-7fa4-5e58-7b4e34964feb