Claim total
$538.47
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of knee125601008
- Start
- 2019-10-24
- Stop
- 2019-10-24
The parties
- Patient
- patient Terrell Doyle Heller
- Provider
- provider Reginald Bruen
- Payer
- payer Humana
Record id
0638f9ad-338f-7ad3-e9b4-0af33ebd8404