Claim total
$6,773.37
base $127.17 · payer covered $2,355.77
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2017-02-23
- Stop
- 2017-02-23
The parties
- Patient
- patient Harland Schroeder
- Provider
- provider Emerson Jast
- Care site
- care site SOUTHSIDE COMMUNITY CLINIC
Record id
0b4e32a4-f92e-1b22-66dd-bb7f4e1673e0