Claim total
$538.47
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of knee125601008
- Start
- 2024-06-22
- Stop
- 2024-06-22
The parties
- Patient
- patient Terry Moises Hane
- Provider
- provider Rashad Wilderman
- Care site
- care site EVERYTIME HOME CARE
- Payer
- payer UnitedHealthcare
Record id
0ff7405b-6824-8389-296a-58c9f4d04fbb