Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2018-12-05
- Stop
- 2018-12-05
The parties
- Patient
- patient Sol Curtis Hahn
- Provider
- provider Alia Gaylord
- Care site
- care site MIDWEST HOME HEALTHCARE LLC
Record id
15a879af-2f3f-5e4d-a624-d15fc963e575