Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 2021-09-15
- Stop
- 2021-09-15
The parties
- Patient
- patient Mary Willard Flatley
- Provider
- provider Sonny Zboncak
- Care site
- care site CREST VIEW LUTHERAN HOME
Record id
35515d90-355c-bb9f-e21e-0ee554f22865