Claim total
$4,854.63
base $127.17 · payer covered $3,883.71
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2024-08-02
- Stop
- 2024-08-02
The parties
- Patient
- patient Debbi Senger
- Provider
- provider Marquerite Swaniawski
- Payer
- payer Medicare
Record id
37bddf43-7b9c-43b9-08c6-bf69e6448ea5