Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 2020-07-05
- Stop
- 2020-07-05
The parties
- Patient
- patient Teodoro Watsica
- Provider
- provider Emerson Jast
- Care site
- care site SOUTHSIDE COMMUNITY CLINIC
Record id
377468ea-eae6-c638-031b-44ac899489aa