Claim total
$127.17
base $127.17 · payer covered $89.02
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2016-10-29
- Stop
- 2016-10-29
The parties
- Patient
- patient Carmen Gia Robel
- Provider
- provider Alia Gaylord
- Care site
- care site MIDWEST HOME HEALTHCARE LLC
Record id
0b18fec5-d601-b59b-2af4-06f6ef6aa8d9