Claim total
$127.17
base $127.17 · payer covered $89.02
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 2019-04-25
- Stop
- 2019-04-25
The parties
- Patient
- patient Berta Cruz
- Provider
- provider Bennie O'Keefe
- Payer
- payer Cigna Health
Record id
113b9e50-1286-0e01-9959-b268922d0589