Claim total
$949.77
base $127.17 · payer covered $914.77
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2025-06-30
- Stop
- 2025-06-30
The parties
- Patient
- patient Angel Reginald Barrows
- Provider
- provider Allan Rowe
- Payer
- payer Dual Eligible
Record id
1dedb48b-0b8d-047b-93f3-2e5ad9cfe3a0