Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Overdose1149222004
- Start
- 1996-06-14
- Stop
- 1996-06-14
The parties
- Patient
- patient Richie Tyree Haag
- Provider
- provider Allan Rowe
- Payer
- payer No insurance
Record id
3834f71e-e1ad-e3af-d34f-a4ae81cdedd9