Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 2019-10-22
- Stop
- 2019-10-22
The parties
- Patient
- patient Michael Lyman Kuphal
- Provider
- provider Raymond Ebert
- Care site
- care site CARONDELET VILLAGE CARE CENTER
Record id
13cef9c2-3228-1542-1954-e7ac2538fce7