Claim total
$127.17
base $127.17 · payer covered $77.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Burn injury48333001
- Start
- 2019-01-25
- Stop
- 2019-01-25
The parties
- Patient
- patient Joann Johnnie Brekke
- Provider
- provider Sheree Kreiger
- Care site
- care site MARANATHA CARE CENTER
- Payer
- payer Medicaid
Record id
2f09e54c-8b86-6d4b-387d-99770b151817