Claim total
$9,881.98
base $127.17 · payer covered $9,831.98
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 1986-05-29
- Stop
- 1986-05-29
The parties
- Patient
- patient Morris Hartmann
- Provider
- provider Reginald Bruen
- Payer
- payer Medicaid
Record id
36a22334-42e4-d3c9-adbb-80ed79150056