Claim total
$127.17
base $127.17 · payer covered $76.30
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2022-02-18
- Stop
- 2022-02-19
The parties
- Patient
- patient Torie Beverly Wilderman
- Provider
- provider Allan Rowe
- Payer
- payer Humana
Record id
247df821-4045-f665-9c35-e9a6efe9f70e