Claim total
$127.17
base $127.17 · payer covered $77.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2023-06-08
- Stop
- 2023-06-08
The parties
- Patient
- patient Ignacio Kurt Nolan
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Medicaid
Record id
3826b3d9-fa85-cc16-e8ef-a0db54f84e39