Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2021-05-16
- Stop
- 2021-05-16
The parties
- Patient
- patient Avril Vernie Lubowitz
- Provider
- provider Davida Wolff
Record id
18a5f139-7161-e92c-9d51-22b189a5ce12