Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2022-09-21
- Stop
- 2022-09-21
The parties
- Patient
- patient Robert Hoyt Morar
- Provider
- provider Emerson Jast
- Care site
- care site SOUTHSIDE COMMUNITY CLINIC
- Payer
- payer No insurance
Record id
3427aba4-aec0-c793-6cab-e7f9b49f9e92