Claim total
$127.17
base $127.17 · payer covered $24.77
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2026-03-10
- Stop
- 2026-03-10
The parties
- Patient
- patient Claudette Arlean Thiel
- Provider
- provider Reginald Bruen
- Payer
- payer Medicaid
Record id
39946394-5083-4083-e45a-e8e04a07f2f8