Claim total
$127.17
base $127.17 · payer covered $127.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 2020-07-22
- Stop
- 2020-07-22
The parties
- Patient
- patient June Christiansen
- Provider
- provider Raymond Ebert
- Care site
- care site CARONDELET VILLAGE CARE CENTER
Record id
3a698cd1-c3be-fc3a-edac-293b309c1c91