Claim total
$15,760.44
base $127.17 · payer covered $12,608.36
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2023-08-21
- Stop
- 2023-08-22
The parties
- Patient
- patient Adrian Lauren McKenzie
- Provider
- provider Grant Miller
- Care site
- care site OUR LADY OF PEACE HOME CARE
- Payer
- payer Medicare
Record id
17f016d2-a88a-bd03-37c6-6b084afcf879