Claim total
$949.77
base $127.17 · payer covered $949.77
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2025-04-16
- Stop
- 2025-04-16
The parties
- Patient
- patient Briana Alana Hickle
- Provider
- provider Bennie O'Keefe
- Payer
- payer Aetna
Record id
0b3b7c16-0bc2-6fa5-e4e3-987ff85fdf44