Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2024-11-25
- Stop
- 2024-11-25
The parties
- Patient
- patient Tracey Armando McClure
- Provider
- provider Marquerite Swaniawski
- Payer
- payer Humana
Record id
0a0b3b82-5b44-a574-768f-7c437e09be8e