Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2019-08-16
- Stop
- 2019-08-16
The parties
- Patient
- patient Vince Kelley Grimes
- Provider
- provider Reginald Bruen
Record id
28d8b15e-8b0d-2cef-5aef-e7e13d83549a