Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2023-12-29
- Stop
- 2023-12-29
The parties
- Patient
- patient Kenia Elida Terry
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer No insurance
Record id
09a3167a-b9be-61ba-86cf-961810794987