Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Burn injury48333001
- Start
- 2025-02-07
- Stop
- 2025-02-07
The parties
- Patient
- patient Lonny Walter
- Provider
- provider Elisabeth Smith
Record id
2270691b-dd89-1d4e-7452-2686a43767b7