Claim total
$949.77
base $127.17 · payer covered $877.11
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2023-11-18
- Stop
- 2023-11-18
The parties
- Provider
- provider Sheree Kreiger
- Care site
- care site MARANATHA CARE CENTER
- Payer
- payer Medicaid
Record id
377b6d60-2747-7752-016f-679626e2bb10