Claim total
$538.47
base $127.17 · payer covered $430.78
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of knee125601008
- Start
- 2020-08-06
- Stop
- 2020-08-06
The parties
- Patient
- patient Debrah Lily Kreiger
- Provider
- provider Reginald Bruen
- Payer
- payer Medicare
Record id
1dc07f8a-b79b-b7be-a6b7-c6489b86102e