Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2022-02-25
- Stop
- 2022-02-25
The parties
- Provider
- provider Sheree Kreiger
- Care site
- care site MARANATHA CARE CENTER
- Payer
- payer UnitedHealthcare
Record id
208a9f09-abb5-b783-e92c-f61a64eb6ded