Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Concussion injury of brain110030002
- Start
- 2007-09-09
- Stop
- 2007-09-09
The parties
- Patient
- patient Dorotea Adame
- Provider
- provider Rusty Hegmann
- Care site
- care site BAYADA HOME HEALTH CARE INC
- Payer
- payer Medicare
Record id
18706a0f-81b0-8388-16a1-d8a5910ce372