Claim total
$4,854.63
base $127.17 · payer covered $3,883.71
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 1999-12-25
- Stop
- 1999-12-25
The parties
- Provider
- provider Marquerite Swaniawski
- Payer
- payer Medicare
Record id
20c013b0-a520-1f62-3550-6db3b109c722