Claim total
$4,911.58
base $127.17 · payer covered $4,876.58
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Acute cholecystitis65275009
- Start
- 2024-09-09
- Stop
- 2024-09-10
The parties
- Patient
- patient Wesley Aron Barton
- Provider
- provider Reginald Bruen
- Payer
- payer Dual Eligible
Record id
2eb86dfb-4252-0570-627b-5c3891b3f5f6