Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Burn injury48333001
- Start
- 2017-01-01
- Stop
- 2017-01-01
The parties
- Patient
- patient Gordon Armand Ritchie
- Provider
- provider Evalyn Torphy
- Care site
- care site ALLIANCE HHC & NURSING SERVICE
- Payer
- payer Humana
Record id
25544d64-3ba8-3dfe-e295-8ca3fb57f85f