Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Burn injury48333001
- Start
- 2017-01-20
- Stop
- 2017-01-20
The parties
- Patient
- patient Barney MacGyver
- Provider
- provider Raymond Ebert
- Care site
- care site CARONDELET VILLAGE CARE CENTER
Record id
30e13405-ccca-a4d8-a86a-71e2b13c34a6