Claim total
$127.17
base $127.17 · payer covered $127.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2025-08-25
- Stop
- 2025-08-25
The parties
- Patient
- patient Angeles Terri Armstrong
- Provider
- provider Marquerite Swaniawski
- Payer
- payer Anthem
Record id
366f800b-1cb3-096d-abe0-f5fe9c7b310c