Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Overdose1149222004
- Start
- 1997-10-11
- Stop
- 1997-10-12
The parties
- Patient
- patient Stormy Tanja Feil
- Provider
- provider Allan Rowe
- Payer
- payer Humana
Record id
2907e9e9-4194-49c9-a5b0-562877985af8