Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Overdose1149222004
- Start
- 1993-06-01
- Stop
- 1993-06-02
The parties
- Patient
- patient Denny Virgilio Kiehn
- Provider
- provider Bennie O'Keefe
- Payer
- payer No insurance
Record id
128f92e2-3eba-387d-6f81-17f38dacfda4