Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Concussion injury of brain110030002
- Start
- 1973-05-31
- Stop
- 1973-05-31
The parties
- Patient
- patient Avery Jean Berge
- Provider
- provider Allan Rowe
- Payer
- payer No insurance
Record id
3392bcdb-93d2-6b49-ce92-0056cdde8e45