Claim total
$949.77
base $127.17 · payer covered $705.58
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2026-02-06
- Stop
- 2026-02-06
The parties
- Patient
- patient Oscar Ricky Gerlach
- Provider
- provider Allan Rowe
- Payer
- payer Medicare
Record id
2dbeb246-a994-b355-719c-a6b237721f98