Claim total
$869.46
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- —
- Start
- 1971-04-17
- Stop
- 1971-04-17
The parties
- Patient
- patient Maynard Omer Metz
- Provider
- provider Shellie Pacocha
- Care site
- care site MILS HOME HEALTH CARE AGENCY
- Payer
- payer No insurance
Record id
340f3309-d5f5-88b6-84dc-0ac35bf30131