Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2019-02-05
- Stop
- 2019-02-05
The parties
- Patient
- patient Lindsay Luigi Moen
- Provider
- provider Elisabeth Smith
Record id
098c4038-017d-a828-b6ab-4e4bfed061ab