Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2023-04-05
- Stop
- 2023-04-05
The parties
- Patient
- patient Milagros Murray
- Provider
- provider Grant Miller
- Care site
- care site OUR LADY OF PEACE HOME CARE
- Payer
- payer Aetna
Record id
1e230a6d-bb0b-cca4-02ba-0398aa2e3972