Claim total
$127.17
base $127.17 · payer covered $89.02
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 2018-01-03
- Stop
- 2018-01-03
The parties
- Patient
- patient Matilde Olene Harvey
- Provider
- provider Allan Rowe
- Payer
- payer Cigna Health
Record id
33a98c52-0030-f7ee-a533-a629bf58a40a