Claim total
$127.17
base $127.17 · payer covered $101.74
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2026-03-25
- Stop
- 2026-03-25
The parties
- Patient
- patient Rose Enola Mann
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Anthem
Record id
0e253527-504c-e850-ed27-709becdb7e35