Claim total
$7,259.15
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Seizure disorder128613002
- Start
- 1977-10-14
- Stop
- 1977-10-14
The parties
- Patient
- patient Lorilee Rau
- Provider
- provider Emerson Jast
- Care site
- care site SOUTHSIDE COMMUNITY CLINIC
- Payer
- payer No insurance
Record id
01b2da20-8b0d-5eee-0290-1bfd856646c4