Claim total
$949.77
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2026-03-04
- Stop
- 2026-03-04
The parties
- Patient
- patient Terra Kessler
- Provider
- provider Allan Rowe
- Payer
- payer Anthem
Record id
158f97ce-e510-b3df-f33a-393cbdeadeaf