Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Overdose1149222004
- Start
- 1992-12-22
- Stop
- 1992-12-22
The parties
- Patient
- patient Elton Borer
- Provider
- provider Allan Rowe
- Payer
- payer No insurance
Record id
0d0e1c95-f08c-7bc8-657f-deff631bae71