Claim total
$161,843.38
base $76.30 · payer covered $129,474.70
The visit
- Class
- Emergency
- Code
- 185347001
- Reason
- diagnosis concept Sepsis91302008
- Start
- 2023-04-07
- Stop
- 2023-05-12
The parties
- Patient
- patient Eliseo Stewart Baumbach
- Provider
- provider Sonny Zboncak
- Care site
- care site CREST VIEW LUTHERAN HOME
- Payer
- payer Medicare
Record id
047697e3-dcee-86e1-b37a-fbb94720f9d6