Claim total
$949.77
base $127.17 · payer covered $899.77
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2025-02-05
- Stop
- 2025-02-05
The parties
- Provider
- provider Reginald Bruen
- Payer
- payer Medicaid
Record id
2d46927f-3540-85ed-3d61-9497ad0c4474