Claim total
$949.77
base $127.17 · payer covered $654.38
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2019-09-30
- Stop
- 2019-09-30
The parties
- Patient
- patient Larue Wisoky
- Provider
- provider Allan Rowe
- Payer
- payer UnitedHealthcare
Record id
1b9bb4ac-9c45-3ef6-bd1f-ff1c932c93ca