Claim total
$5,375.50
base $127.17 · payer covered $775.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2018-08-25
- Stop
- 2018-08-25
The parties
- Patient
- patient Graciela Klocko
- Provider
- provider Branden Hane
- Care site
- care site RECOVER HEALTH
Record id
2650b17d-56ce-e015-7f12-d063a575b549