Claim total
$127.17
base $127.17 · payer covered $101.74
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2025-12-03
- Stop
- 2025-12-03
The parties
- Patient
- patient Morris Ronny Herzog
- Provider
- provider Evalyn Torphy
- Care site
- care site ALLIANCE HHC & NURSING SERVICE
- Payer
- payer UnitedHealthcare
Record id
37503fb0-fda3-afc6-83e1-3b4c5c5b8022