Claim total
$949.77
base $127.17 · payer covered $759.82
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2024-09-05
- Stop
- 2024-09-05
The parties
- Patient
- patient Ardith Anette Langosh
- Provider
- provider Óscar Quiñones
- Care site
- care site IN-HOME LAB CONNECTION INC
- Payer
- payer Medicare
Record id
19d11b13-231e-035e-2a8a-f7c97faad06a