Claim total
$949.77
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2018-02-27
- Stop
- 2018-02-28
The parties
- Patient
- patient Laila Suzanne Bruen
- Provider
- provider Sonny Zboncak
- Care site
- care site CREST VIEW LUTHERAN HOME
- Payer
- payer No insurance
Record id
0f2fce98-e3b7-6178-dbf8-998d1fb11afe