Claim total
$127.17
base $127.17 · payer covered $92.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Overdose1149222004
- Start
- 2010-10-10
- Stop
- 2010-10-10
The parties
- Patient
- patient Angel Reginald Barrows
- Provider
- provider Allan Rowe
- Payer
- payer Dual Eligible
Record id
1dedb48b-0b8d-047b-dd69-3764f507f98e