Claim total
$127.17
base $127.17 · payer covered $89.02
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2023-08-27
- Stop
- 2023-08-27
The parties
- Patient
- patient Denny Virgilio Kiehn
- Provider
- provider Bennie O'Keefe
- Payer
- payer Cigna Health
Record id
128f92e2-3eba-387d-870b-63166587896e