Claim total
$949.77
base $127.17 · payer covered $759.82
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2022-06-05
- Stop
- 2022-06-05
The parties
- Patient
- patient Joey Douglass Watsica
- Provider
- provider Allan Rowe
- Payer
- payer Anthem
Record id
38b6778d-de33-741a-b406-128771d6ed5c