Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2021-05-04
- Stop
- 2021-05-04
The parties
- Patient
- patient Dion Burt Yost
- Provider
- provider Elisabeth Smith
- Payer
- payer Aetna
Record id
25494748-602d-a952-95fe-161b5f2dc344