Claim total
$127.17
base $127.17 · payer covered $127.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Concussion injury of brain110030002
- Start
- 2026-06-22
- Stop
- 2026-06-22
The parties
- Patient
- patient Reyna Carroll
- Provider
- provider Sharen Morar
- Payer
- payer Medicare
Record id
12cb4f8d-eea3-ec6a-50d1-e3e62c530c39