Claim total
$949.77
base $127.17 · payer covered $759.82
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2024-09-06
- Stop
- 2024-09-06
The parties
- Patient
- patient Jim Mickey Dooley
- Provider
- provider Raymond Ebert
- Care site
- care site CARONDELET VILLAGE CARE CENTER
- Payer
- payer Medicare
Record id
2dd73ae7-e48b-31a9-27ae-e7ddaced6a6a