Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 2019-11-10
- Stop
- 2019-11-10
The parties
- Patient
- patient Hipolito Murray Harris
- Provider
- provider Grant Miller
- Care site
- care site OUR LADY OF PEACE HOME CARE
- Payer
- payer Humana
Record id
0cc68655-22f2-d830-7a50-1f6b482f3d29