Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2020-10-10
- Stop
- 2020-10-10
The parties
- Patient
- patient Lincoln Jamison Bernier
- Provider
- provider Emmanuel Champlin
- Care site
- care site CREST VIEW HOME HEALTH CARE
- Payer
- payer Humana
Record id
0ff41c86-4494-9e52-d90d-30955b029a0a