Emergency room admission

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patient Rudolph Bud Batz
Emergency room admission

Claim total

$949.77

base $127.17 · payer covered $0.00

The visit

Class: Emergency
Code: 50849002
Reason: diagnosis concept Traumatic dislocation of temporomandibular joint81629009
Start: 2024-08-06
Stop: 2024-08-06

The parties

Patient: patient Rudolph Bud Batz
Provider: provider Elisabeth Smith
Care site: care site COVENANT LIVING OF GOLDEN VALLEY CARE & REHAB CTR
Payer: payer No insurance

Record id 02c734eb-6a05-b133-9c4d-a0958a723196