Claim total
$949.77
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 1985-04-09
- Stop
- 1985-04-09
The parties
- Patient
- patient Julia Amalia Cabán
- Provider
- provider Rashad Wilderman
- Care site
- care site EVERYTIME HOME CARE
- Payer
- payer No insurance
Record id
1052dc4c-cd9e-fd71-9ddd-9a85939c6e24