Claim total
$6,664.37
base $127.17 · payer covered $5,331.50
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2023-11-30
- Stop
- 2023-11-30
The parties
- Patient
- patient Cyril Luciano Walsh
- Provider
- provider Sonny Zboncak
- Care site
- care site CREST VIEW LUTHERAN HOME
- Payer
- payer Medicare
Record id
334963a8-b170-3b80-8fbd-d203ab695191