Claim total
$127.17
base $127.17 · payer covered $101.74
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2022-04-08
- Stop
- 2022-04-08
The parties
- Patient
- patient Malcolm Graig Hackett
- Provider
- provider Niesha Walter
- Payer
- payer Medicare
Record id
02579c91-f636-e7d1-b99d-91d83a41b219