Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2017-12-21
- Stop
- 2017-12-21
The parties
- Patient
- patient Kanisha Rohan
- Provider
- provider Claudia Bauch
- Care site
- care site THE VILLA AT ST LOUIS PARK
Record id
0c9872cf-8e0e-29cf-2802-e26c0b40d6a3