Claim total
$127.17
base $127.17 · payer covered $127.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- —
- Start
- 2014-11-30
- Stop
- 2014-11-30
The parties
- Patient
- patient Amelia Danyel Hintz
- Provider
- provider Allan Rowe
- Payer
- payer Humana
Record id
007ab53b-1293-c7a9-85ab-8817ac7931e5