Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 2019-01-07
- Stop
- 2019-01-07
The parties
- Patient
- patient Leandro Lloyd Ratke
- Provider
- provider Rashad Wilderman
- Care site
- care site EVERYTIME HOME CARE
- Payer
- payer No insurance
Record id
322d2eb8-0c80-96f1-949a-d8e6668cbef7