Claim total
$949.77
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2020-10-11
- Stop
- 2020-10-11
The parties
- Patient
- patient Michael Lyman Kuphal
- Provider
- provider Raymond Ebert
- Care site
- care site CARONDELET VILLAGE CARE CENTER
Record id
13cef9c2-3228-1542-49c5-d9b7c1c4126a