Claim total
$949.77
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2026-06-11
- Stop
- 2026-06-11
The parties
- Patient
- patient Murray Bradly Bode
- Provider
- provider Emerson Jast
- Care site
- care site SOUTHSIDE COMMUNITY CLINIC
Record id
2953e773-0ba3-5c91-f6a7-c7b71e1fa933