Claim total
$127.17
base $127.17 · payer covered $16.92
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2025-02-18
- Stop
- 2025-02-18
The parties
- Patient
- patient Markita Hahn
- Provider
- provider Allan Rowe
- Payer
- payer Medicare
Record id
073a6492-3457-ad14-fa7f-b6fcd119aab1