Claim total
$127.17
base $127.17 · payer covered $77.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2024-03-19
- Stop
- 2024-03-19
The parties
- Patient
- patient Jake Noel VonRueden
- Provider
- provider Branden Hane
- Care site
- care site RECOVER HEALTH
- Payer
- payer Medicaid
Record id
07712e5c-ba5e-6b23-0cf4-a8d18d17378a