Claim total
$10,793.83
base $127.17 · payer covered $8,511.51
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2014-07-05
- Stop
- 2014-07-05
The parties
- Patient
- patient Dylan Mante
- Provider
- provider Allan Rowe
- Payer
- payer Medicare
Record id
1d345bd8-58e2-79a2-5a15-ed297350a838