Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Overdose1149222004
- Start
- 2006-03-18
- Stop
- 2006-03-18
The parties
- Patient
- patient Kurt Nathanael Skiles
- Provider
- provider Raymond Ebert
- Care site
- care site CARONDELET VILLAGE CARE CENTER
- Payer
- payer Medicaid
Record id
34284b09-ad51-f51d-ed11-ef0d7d9753b5