Claim total
$949.77
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2018-07-04
- Stop
- 2018-07-04
The parties
- Patient
- patient Heath Rigoberto Beatty
- Provider
- provider Bennie O'Keefe
- Payer
- payer Cigna Health
Record id
1a268d8b-45e2-3629-622d-96b4f296c2e0