Claim total
$6,667.64
base $127.17 · payer covered $6,517.64
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- —
- Start
- 1969-07-02
- Stop
- 1969-07-02
The parties
- Patient
- patient Joey Norman Parker
- Provider
- provider Sonny Zboncak
- Care site
- care site CREST VIEW LUTHERAN HOME
- Payer
- payer Medicaid
Record id
07e1cc91-ac43-613e-740d-bfb474678328