Claim total
$7,573.56
base $127.17 · payer covered $7,538.56
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2019-06-23
- Stop
- 2019-06-23
The parties
- Patient
- patient Judy Yundt
- Provider
- provider Sheree Kreiger
- Care site
- care site MARANATHA CARE CENTER
- Payer
- payer Dual Eligible
Record id
28694091-a035-e362-1951-b920eaf63782