Claim total
$7,573.56
base $127.17 · payer covered $6,058.85
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2022-08-21
- Stop
- 2022-08-21
The parties
- Patient
- patient Julio Hayden Haag
- Provider
- provider Allan Rowe
- Payer
- payer Medicare
Record id
36f895c5-cf8f-4086-9c54-639189c3d8b7