Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Concussion injury of brain110030002
- Start
- 2018-11-20
- Stop
- 2018-11-20
The parties
- Patient
- patient Marlena McKenzie
- Provider
- provider Allan Rowe
- Payer
- payer Aetna
Record id
088a3bac-a63f-7d95-e02a-449472d05a09