Claim total
$949.77
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2018-09-11
- Stop
- 2018-09-11
The parties
- Patient
- patient Rosanna Alberta Lubowitz
- Provider
- provider Marquerite Swaniawski
- Payer
- payer Cigna Health
Record id
247f72d2-4061-5a68-e488-2df39bdc414a