Claim total
$127.17
base $127.17 · payer covered $92.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2023-06-24
- Stop
- 2023-06-24
The parties
- Provider
- provider Rusty Hegmann
- Care site
- care site BAYADA HOME HEALTH CARE INC
- Payer
- payer Dual Eligible
Record id
0ed67a32-bd3f-abe0-b72f-0e5a82c78b10