Claim total
$949.77
base $127.17 · payer covered $433.66
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2025-03-15
- Stop
- 2025-03-16
The parties
- Patient
- patient Torie Beverly Wilderman
- Provider
- provider Allan Rowe
- Payer
- payer Humana
Record id
247df821-4045-f665-0bdb-dc3efd993b85