Claim total
$5,115.34
base $127.17 · payer covered $1,153.72
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2021-12-17
- Stop
- 2021-12-17
The parties
- Patient
- patient Vonda Renate Rosenbaum
- Provider
- provider Rusty Hegmann
- Care site
- care site BAYADA HOME HEALTH CARE INC
Record id
15c5dc5b-2e11-0533-2f81-c51e1d5e951c