Claim total
$127.17
base $127.17 · payer covered $127.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2018-10-14
- Stop
- 2018-10-14
The parties
- Patient
- patient Avery Tamekia Adams
- Provider
- provider Claudia Bauch
- Care site
- care site THE VILLA AT ST LOUIS PARK
- Payer
- payer Humana
Record id
0ef447aa-1d55-83c2-9972-d93b8631a753