Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2018-02-14
- Stop
- 2018-02-14
The parties
- Patient
- patient Dora Violet Okuneva
- Provider
- provider Rashad Wilderman
- Care site
- care site EVERYTIME HOME CARE
- Payer
- payer Cigna Health
Record id
001727b6-dbde-2493-b84e-875e469ede41