Claim total
$127.17
base $127.17 · payer covered $77.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2021-09-15
- Stop
- 2021-09-15
The parties
- Patient
- patient Vernie Dolly Langworth
- Provider
- provider Rusty Hegmann
- Care site
- care site BAYADA HOME HEALTH CARE INC
- Payer
- payer Medicaid
Record id
11c9fe1a-7b8f-fc33-ad5a-cd1d1c07bb72