Emergency room admission

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patient Shenika Elisabeth Hettinger
Emergency room admission

Claim total

$949.77

base $127.17 · payer covered $0.00

The visit

Class: Emergency
Code: 50849002
Reason: diagnosis concept Fracture of bone125605004
Start: 2026-02-19
Stop: 2026-02-20

The parties

Patient: patient Shenika Elisabeth Hettinger
Provider: provider Sonny Zboncak
Care site: care site CREST VIEW LUTHERAN HOME
Payer: payer Blue Cross Blue Shield

Record id 2881728b-cc86-313d-45b5-5226eaf2ccec