Claim total
$127.17
base $127.17 · payer covered $77.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Overdose1149222004
- Start
- 1998-08-01
- Stop
- 1998-08-02
The parties
- Patient
- patient Sylvie Viviana Feest
- Provider
- provider Juli Predovic
- Care site
- care site KINDRED AT HOME
- Payer
- payer Medicaid
Record id
3206c5ca-dc89-df44-adae-2ec434cc7c55