Claim total
$3,668.70
base $127.17 · payer covered $3,518.70
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2025-06-15
- Stop
- 2025-06-15
The parties
- Patient
- patient Reda Vivien Kozey
- Provider
- provider Marquerite Swaniawski
- Payer
- payer Medicaid
Record id
1bb9b894-b2d6-2bc8-5e3c-e30c4c4582ca