Claim total
$949.77
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2023-05-13
- Stop
- 2023-05-13
The parties
- Patient
- patient Ellis Dooley
- Provider
- provider Rashad Wilderman
- Care site
- care site EVERYTIME HOME CARE
- Payer
- payer Humana
Record id
102ec4ce-836b-a335-dea0-d3606472786e