Claim total
$127.17
base $127.17 · payer covered $77.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2018-10-20
- Stop
- 2018-10-20
The parties
- Patient
- patient Marhta Flossie Lind
- Provider
- provider Evalyn Torphy
- Care site
- care site ALLIANCE HHC & NURSING SERVICE
- Payer
- payer Medicaid
Record id
07781163-5e47-036d-227b-d8df5efe24cb