Claim total
$949.77
base $127.17 · payer covered $664.84
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2016-10-24
- Stop
- 2016-10-24
The parties
- Patient
- patient Steve Edgardo Strosin
- Provider
- provider Bennie Gutkowski
- Care site
- care site FAIRVIEW UNIVERSITY TRANS SERV
Record id
29c97b1c-7a59-a16d-0287-001955de472c