Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Concussion injury of brain110030002
- Start
- 2019-11-14
- Stop
- 2019-11-14
The parties
- Patient
- patient Carson Kelvin Haag
- Provider
- provider Allan Rowe
- Payer
- payer UnitedHealthcare
Record id
06937957-309c-6315-ada4-0454216b4538