Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 1975-12-04
- Stop
- 1975-12-04
The parties
- Patient
- patient Nicholas Glenn Beatty
- Provider
- provider Raymond Ebert
- Care site
- care site CARONDELET VILLAGE CARE CENTER
- Payer
- payer No insurance
Record id
340ca81c-47ed-6eb0-a3f8-aa667021441d