Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Overdose1149222004
- Start
- 2024-11-11
- Stop
- 2024-11-12
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-ef64-96817fc9b2a5