Claim total
$949.77
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2019-12-11
- Stop
- 2019-12-11
The parties
- Patient
- patient Truman Noah Gutmann
- Provider
- provider Allan Rowe
- Payer
- payer Humana
Record id
348c9dd4-67d4-1864-2883-5d57f6014170