Claim total
$127.17
base $127.17 · payer covered $101.74
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2026-03-06
- Stop
- 2026-03-06
The parties
- Patient
- patient Douglas Mose Kertzmann
- Provider
- provider Britt Borer
- Care site
- care site OUR LADY OF PEACE HOSPICE
- Payer
- payer Medicare
Record id
2a999821-d76f-cf16-465f-4215c538c872