Claim total
$538.47
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of knee125601008
- Start
- 2024-06-18
- Stop
- 2024-06-18
The parties
- Patient
- patient Leeanna Carylon Fadel
- Provider
- provider Davida Wolff
Record id
2ada2143-53df-130a-820c-02af10516c38