Claim total
$3,935.75
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2024-02-13
- Stop
- 2024-02-13
The parties
- Patient
- patient Nikole Ronald Crona
- Provider
- provider Sonny Zboncak
- Care site
- care site CREST VIEW LUTHERAN HOME
- Payer
- payer No insurance
Record id
0205d624-3e5e-6b66-f117-20f4a740545d