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
- 2024-07-10
- Stop
- 2024-07-10
The parties
- Patient
- patient Sheba Carlee Hudson
- Provider
- provider Rusty Hegmann
- Care site
- care site BAYADA HOME HEALTH CARE INC
- Payer
- payer Anthem
Record id
06ae8d17-3a43-a5a8-c1c0-0e0e9702adbf