Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2018-11-11
- Stop
- 2018-11-11
The parties
- Patient
- patient Micah Francesco Feest
- Provider
- provider Elisabeth Smith
Record id
1c5eae5e-ff97-ee21-14f1-5c5ebc1f0f4b