Claim total
$949.77
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2021-12-17
- Stop
- 2021-12-17
The parties
- Patient
- patient Wilbur McCullough
- Provider
- provider Allan Rowe
Record id
0418f551-ced3-e811-0d8a-e16002cff0c0