Claim total
$14,987.03
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 1997-03-17
- Stop
- 1997-03-17
The parties
- Patient
- patient Bobette Sharell Osinski
- Provider
- provider Emmanuel Champlin
- Care site
- care site CREST VIEW HOME HEALTH CARE
- Payer
- payer No insurance
Record id
146b0c95-8818-f9c6-0ccf-ce9211d2ab48