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
- 2021-05-22
- Stop
- 2021-05-22
The parties
- Patient
- patient Lorenzo Antwan Corwin
- Provider
- provider Allan Rowe
- Payer
- payer No insurance
Record id
1d643d29-a33b-e3f3-1291-8cd7ac29fa35