Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2021-09-08
- Stop
- 2021-09-08
The parties
- Patient
- patient Elisabeth Gleason
- Provider
- provider Evalyn Torphy
- Care site
- care site ALLIANCE HHC & NURSING SERVICE
Record id
2687fd40-e7a6-0ada-5d8c-e7575fcf1f07