Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2019-01-28
- Stop
- 2019-01-28
The parties
- Patient
- patient Jason Morris Braun
- Provider
- provider Emmanuel Champlin
- Care site
- care site CREST VIEW HOME HEALTH CARE
Record id
1d119b04-79c9-75fa-5367-6cf71cb4a99a