Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2026-06-02
- Stop
- 2026-06-02
The parties
- Patient
- patient Sheba Carlee Hudson
- Provider
- provider Rusty Hegmann
- Care site
- care site BAYADA HOME HEALTH CARE INC
- Payer
- payer Aetna
Record id
06ae8d17-3a43-a5a8-b0ca-027c3516da4e