Claim total
$127.17
base $127.17 · payer covered $101.74
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2025-05-23
- Stop
- 2025-05-23
The parties
- Patient
- patient Guadalupe Mueller
- Provider
- provider Allan Rowe
- Payer
- payer Anthem
Record id
092be2c2-c9ad-cd0f-8245-74562898ee6c