Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2023-03-19
- Stop
- 2023-03-19
The parties
- Patient
- patient Elana Mandie Wiegand
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Aetna
Record id
30743a72-2cf0-d9e1-e5d4-84e00dd9735b