Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2023-05-12
- Stop
- 2023-05-12
The parties
- Patient
- patient Elbert Hyman Swaniawski
- Provider
- provider Sonny Zboncak
- Care site
- care site CREST VIEW LUTHERAN HOME
Record id
37096919-2ce6-bbeb-6fe2-4dec1a8fd6a7