Claim total
$4,493.88
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Acute cholecystitis65275009
- Start
- 2020-11-06
- Stop
- 2020-11-07
The parties
- Patient
- patient Melvina Purdy
- Provider
- provider Emerson Jast
- Care site
- care site SOUTHSIDE COMMUNITY CLINIC
- Payer
- payer No insurance
Record id
1fa1bef1-d97c-21de-76a5-48672dcdead0