Claim total
$949.77
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2017-10-13
- Stop
- 2017-10-13
The parties
- Patient
- patient Jovan Dickinson
- Provider
- provider Óscar Quiñones
- Care site
- care site IN-HOME LAB CONNECTION INC
- Payer
- payer Humana
Record id
0f385183-1250-9f44-0a8a-5b6477690d94