Claim total
$15,541.18
base $127.17 · payer covered $12,432.95
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 1990-02-18
- Stop
- 1990-02-18
The parties
- Patient
- patient Orval Lesley Hilll
- Provider
- provider Marquerite Swaniawski
- Payer
- payer Medicare
Record id
398caf93-d142-e99a-b571-14d91bc169c0