Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2022-10-19
- Stop
- 2022-10-19
The parties
- Patient
- patient Mary Willard Flatley
- Provider
- provider Sonny Zboncak
- Care site
- care site CREST VIEW LUTHERAN HOME
Record id
35515d90-355c-bb9f-6f9e-6dba41821721