Claim total
$127.17
base $127.17 · payer covered $92.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2024-08-07
- Stop
- 2024-08-07
The parties
- Patient
- patient Arvilla Cummings
- Provider
- provider Claudia Bauch
- Care site
- care site THE VILLA AT ST LOUIS PARK
- Payer
- payer Dual Eligible
Record id
20950ce0-88d5-8d6a-6655-00fe83faa83b