Claim total
$949.77
base $127.17 · payer covered $759.82
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2018-02-20
- Stop
- 2018-02-20
The parties
- Patient
- patient Gonzalo Goodwin
- Provider
- provider Reginald Bruen
- Payer
- payer Medicare
Record id
1b095863-7386-17e5-b61d-051b2a40e088