Claim total
$127.17
base $127.17 · payer covered $92.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 2026-06-13
- Stop
- 2026-06-14
The parties
- Patient
- patient Stephen Clifford Feil
- Provider
- provider Raymond Ebert
- Care site
- care site CARONDELET VILLAGE CARE CENTER
- Payer
- payer Dual Eligible
Record id
326feed2-c4a1-5a79-86b6-57547ae59b03