Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Chronic intractable migraine without aura124171000119105
- Start
- 1990-04-11
- Stop
- 1990-04-11
The parties
- Patient
- patient Harland Carmine Herzog
- Provider
- provider Sheree Kreiger
- Care site
- care site MARANATHA CARE CENTER
- Payer
- payer Medicare
Record id
0302711f-bc3a-898e-4cfc-d9fea903f616