Claim total
$4,854.63
base $127.17 · payer covered $4,819.63
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2026-09-11
- Stop
- 2026-09-11
The parties
- Patient
- patient Aaron Merle Schroeder
- Provider
- provider Raymond Ebert
- Care site
- care site CARONDELET VILLAGE CARE CENTER
- Payer
- payer Dual Eligible
Record id
347e8a4e-5c81-360d-4fb9-cdc318f469bc