Claim total
$127.17
base $127.17 · payer covered $101.74
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 2017-01-02
- Stop
- 2017-01-02
The parties
- Patient
- patient Chauncey Reyes Volkman
- Provider
- provider Davida Wolff
- Payer
- payer UnitedHealthcare
Record id
065797f3-c00d-de7d-5e78-9903120d5aac