Claim total
$6,400.55
base $127.17 · payer covered $2,362.09
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2022-06-05
- Stop
- 2022-06-05
The parties
- Patient
- patient Denny Virgilio Kiehn
- Provider
- provider Bennie O'Keefe
- Payer
- payer Cigna Health
Record id
128f92e2-3eba-387d-8d17-15dca5ef1718