Claim total
$949.77
base $127.17 · payer covered $914.77
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2023-06-05
- Stop
- 2023-06-05
The parties
- Patient
- patient Adolfo Fahey
- Provider
- provider Reginald Bruen
- Payer
- payer Dual Eligible
Record id
329429b6-f9d9-03e0-0a10-ac1d55282b4b