Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2020-05-19
- Stop
- 2020-05-19
The parties
- Patient
- patient Darryl Rosendo Johnston
- Provider
- provider Sheree Kreiger
- Care site
- care site MARANATHA CARE CENTER
Record id
37d59dbe-6090-c49b-6505-bd1cc125a938