Claim total
$949.77
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2018-09-22
- Stop
- 2018-09-22
The parties
- Patient
- patient Foster Les Kiehn
- Provider
- provider Elisabeth Smith
- Payer
- payer Cigna Health
Record id
223aff08-5e08-d011-d96d-d2d902e67a5e