Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Burn injury48333001
- Start
- 2024-03-16
- Stop
- 2024-03-16
The parties
- Patient
- patient Andreas Connelly
- Provider
- provider Marquerite Swaniawski
- Payer
- payer No insurance
Record id
1b260b8e-663e-b045-bad3-052c996cd0f1