Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 2018-03-22
- Stop
- 2018-03-22
The parties
- Patient
- patient Phylis Elenora Cassin
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Humana
Record id
0400c40b-e8b5-c779-c8a0-c1cd0b7d22e0