Claim total
$949.77
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2024-08-11
- Stop
- 2024-08-11
The parties
- Patient
- patient Micah Francesco Feest
- Provider
- provider Elisabeth Smith
Record id
1c5eae5e-ff97-ee21-e31a-c8d1c34e4163