Claim total
$5,160.30
base $127.17 · payer covered $4,128.24
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- —
- Start
- 1990-04-25
- Stop
- 1990-04-25
The parties
- Patient
- patient Jody Shoshana Powlowski
- Provider
- provider Sheree Kreiger
- Care site
- care site MARANATHA CARE CENTER
- Payer
- payer Medicare
Record id
226e0527-4c40-2548-82b2-35e0d0d37411