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
- 2019-08-08
- Stop
- 2019-08-08
The parties
- Patient
- patient Debra Lakisha Weimann
- Provider
- provider Evalyn Torphy
- Care site
- care site ALLIANCE HHC & NURSING SERVICE
- Payer
- payer Medicare
Record id
26eb4029-b786-3cf8-7118-e4267ca4f0c2