Claim total
$127.17
base $127.17 · payer covered $101.74
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2026-01-12
- Stop
- 2026-01-12
The parties
- Patient
- patient Janna Etta Sipes
- Provider
- provider Allan Rowe
- Payer
- payer UnitedHealthcare
Record id
21b17bd5-a058-5b07-c761-99dd9a6bcdf1