Claim total
$6,549.37
base $127.17 · payer covered $5,239.50
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2001-02-11
- Stop
- 2001-02-11
The parties
- Provider
- provider Marquerite Swaniawski
- Payer
- payer Medicare
Record id
20c013b0-a520-1f62-a2cf-48cba104de3c