Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Concussion injury of brain110030002
- Start
- 2018-03-15
- Stop
- 2018-03-15
The parties
- Patient
- patient Melda Bella Yundt
- Provider
- provider Rashad Wilderman
- Care site
- care site EVERYTIME HOME CARE
- Payer
- payer Humana
Record id
23edbe70-b3c6-4caf-4f11-08463cc152ca