Claim total
$949.77
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2017-05-03
- Stop
- 2017-05-03
The parties
- Patient
- patient August Britt Ferry
- Provider
- provider Sheree Kreiger
- Care site
- care site MARANATHA CARE CENTER
- Payer
- payer Humana
Record id
15242f90-b51f-fc64-5af5-5c9720e24955