Claim total
$5,715.82
base $127.17 · payer covered $4,572.66
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2019-07-13
- Stop
- 2019-07-14
The parties
- Patient
- patient Adrian Lauren McKenzie
- Provider
- provider Grant Miller
- Care site
- care site OUR LADY OF PEACE HOME CARE
- Payer
- payer Medicare
Record id
17f016d2-a88a-bd03-2160-64f99d9a805c