Claim total
$538.47
base $127.17 · payer covered $503.47
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of knee125601008
- Start
- 2023-05-20
- Stop
- 2023-05-20
The parties
- Patient
- patient Marina Tina Yost
- Provider
- provider Evalyn Torphy
- Care site
- care site ALLIANCE HHC & NURSING SERVICE
- Payer
- payer Dual Eligible
Record id
1b0eb887-279e-786b-ac0e-00d69179c3ef