Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 2024-03-30
- Stop
- 2024-03-30
The parties
- Patient
- patient Libby Hettie Cruickshank
- Provider
- provider Raymond Ebert
- Care site
- care site CARONDELET VILLAGE CARE CENTER
- Payer
- payer Medicare
Record id
1a6a8fff-e731-ef09-b860-77ba822c8dbc