Claim total
$187,404.98
base $76.30 · payer covered $149,923.98
The visit
- Class
- Emergency
- Code
- 185347001
- Reason
- diagnosis concept Sepsis91302008
- Start
- 2013-09-22
- Stop
- 2013-10-21
The parties
- Patient
- patient Maria Dibbert
- Provider
- provider Sheree Kreiger
- Care site
- care site MARANATHA CARE CENTER
- Payer
- payer Medicare
Record id
000287f5-a0d8-f77b-140b-6f97fb1c1c74