Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Overdose1149222004
- Start
- 1990-11-27
- Stop
- 1990-11-30
The parties
- Patient
- patient August Gerhold
- Provider
- provider Elisabeth Smith
- Payer
- payer No insurance
Record id
215ceddc-e259-5cac-4aea-23c02abbb129