Claim total
$949.77
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2020-10-25
- Stop
- 2020-10-26
The parties
- Patient
- patient Keenan Kshlerin
- Provider
- provider Rashad Wilderman
- Care site
- care site EVERYTIME HOME CARE
Record id
23a90221-ffb0-8640-819b-2eaa17510f54