Claim total
$127.17
base $127.17 · payer covered $77.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Concussion injury of brain110030002
- Start
- 2020-03-12
- Stop
- 2020-03-12
The parties
- Patient
- patient Elidia McGlynn
- Provider
- provider Sheree Kreiger
- Care site
- care site MARANATHA CARE CENTER
- Payer
- payer Medicaid
Record id
071acfc8-2154-ac43-bfa3-3374d8321112