Claim total
$127.17
base $127.17 · payer covered $77.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 2020-08-25
- Stop
- 2020-08-25
The parties
- Patient
- patient Lea Edwina Hand
- Provider
- provider Marquerite Swaniawski
- Payer
- payer Medicaid
Record id
1a0b0fe5-5cd2-3c13-a505-94ea938d0ce4