Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Burn injury48333001
- Start
- 2025-02-11
- Stop
- 2025-02-11
The parties
- Patient
- patient Shakira Toccara Stamm
- Provider
- provider Bennie O'Keefe
- Payer
- payer Humana
Record id
3921b8e6-ecee-d231-4234-9dae87bae642