Claim total
$127.17
base $127.17 · payer covered $127.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2026-07-18
- Stop
- 2026-07-18
The parties
- Patient
- patient Eda So Mante
- Provider
- provider Britt Borer
- Care site
- care site OUR LADY OF PEACE HOSPICE
- Payer
- payer UnitedHealthcare
Record id
2a79084b-df5c-41f9-9da5-381c8adde6d3