Claim total
$5,695.59
base $127.17 · payer covered $5,645.59
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2021-01-06
- Stop
- 2021-01-06
The parties
- Patient
- patient Joann Johnnie Brekke
- Provider
- provider Sheree Kreiger
- Care site
- care site MARANATHA CARE CENTER
- Payer
- payer Medicaid
Record id
2f09e54c-8b86-6d4b-65e8-484ab74e70e4