Claim total
$949.77
base $127.17 · payer covered $914.77
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 1965-11-01
- Stop
- 1965-11-01
The parties
- Patient
- patient Armando Nick Frami
- Provider
- provider Allan Rowe
- Payer
- payer Dual Eligible
Record id
126e863c-0f70-a48c-1cc4-f2cde9518877