Claim total
$127.17
base $127.17 · payer covered $101.74
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Burn injury48333001
- Start
- 2023-09-20
- Stop
- 2023-09-20
The parties
- Patient
- patient Brendon Donnelly
- Provider
- provider Allan Rowe
- Payer
- payer Medicare
Record id
28e5fd76-511f-60bb-aa5e-0b70b0ec03aa