Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2022-05-23
- Stop
- 2022-05-23
The parties
- Patient
- patient Keesha Jacinda Raynor
- Provider
- provider Alia Gaylord
- Care site
- care site MIDWEST HOME HEALTHCARE LLC
Record id
21a094e7-5e42-b03c-a522-52c16350c806