Claim total
$127.17
base $127.17 · payer covered $101.74
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2019-09-18
- Stop
- 2019-09-18
The parties
- Patient
- patient Julio Hayden Haag
- Provider
- provider Allan Rowe
- Payer
- payer Anthem
Record id
36f895c5-cf8f-4086-60cf-459fa5db9a65