Claim total
$3,668.70
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2018-06-22
- Stop
- 2018-06-22
The parties
- Patient
- patient Ivory Veum
- Provider
- provider Rusty Hegmann
- Care site
- care site BAYADA HOME HEALTH CARE INC
- Payer
- payer Humana
Record id
0c151491-ce0b-ae3c-3f72-2615cc364de2