Claim total
$5,466.92
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 1992-07-14
- Stop
- 1992-07-14
The parties
- Provider
- provider Britt Borer
- Care site
- care site OUR LADY OF PEACE HOSPICE
- Payer
- payer No insurance
Record id
14e6967f-4e43-8710-52c7-cb46fd4172b5