Claim total
$6,985.60
base $127.17 · payer covered $3,462.96
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Seizure disorder128613002
- Start
- 1965-08-16
- Stop
- 1965-08-16
The parties
- Patient
- patient Eliseo Stewart Baumbach
- Provider
- provider Sonny Zboncak
- Care site
- care site CREST VIEW LUTHERAN HOME
Record id
047697e3-dcee-86e1-2770-935daa84f389