Claim total
$127.17
base $127.17 · payer covered $101.74
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Concussion injury of brain110030002
- Start
- 2024-02-10
- Stop
- 2024-02-10
The parties
- Patient
- patient Tim Dane Considine
- Provider
- provider Sheree Kreiger
- Care site
- care site MARANATHA CARE CENTER
- Payer
- payer Medicare
Record id
3192ff7d-d059-e73e-16c3-b3e56f45af47