Claim total
$7,918.76
base $127.17 · payer covered $6,324.72
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 1994-03-13
- Stop
- 1994-03-13
The parties
- Patient
- patient Orval Lesley Hilll
- Provider
- provider Marquerite Swaniawski
- Payer
- payer Medicare
Record id
398caf93-d142-e99a-8353-78bd7d687ca3