Claim total
$4,854.63
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2026-07-28
- Stop
- 2026-07-28
The parties
- Patient
- patient Bambi Margareta Davis
- Provider
- provider Marquerite Swaniawski
- Payer
- payer No insurance
Record id
157dfde4-08b5-f812-2272-ef4aa07493de