Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2023-08-07
- Stop
- 2023-08-07
The parties
- Patient
- patient Danelle Lu Corwin
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Aetna
Record id
21bda3c6-ff5f-b4f5-1cd8-0745b142061a