Claim total
$127.17
base $127.17 · payer covered $92.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 2020-11-14
- Stop
- 2020-11-14
The parties
- Patient
- patient Chester Max Schaden
- Provider
- provider Sonny Zboncak
- Care site
- care site CREST VIEW LUTHERAN HOME
- Payer
- payer Dual Eligible
Record id
38643954-fade-a0d0-95fe-cf6fc330b175