Claim total
$127.17
base $127.17 · payer covered $76.30
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 2016-08-13
- Stop
- 2016-08-13
The parties
- Patient
- patient Kanesha Spring Cummerata
- Provider
- provider Elisabeth Smith
- Payer
- payer Humana
Record id
0d968006-46f3-aae8-13b6-d1622202ed0d