Claim total
$538.47
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of knee125601008
- Start
- 2025-03-11
- Stop
- 2025-03-11
The parties
- Patient
- patient Dion Burt Yost
- Provider
- provider Elisabeth Smith
- Payer
- payer Aetna
Record id
25494748-602d-a952-f1ed-6ab9f939651d