Claim total
$127.17
base $127.17 · payer covered $127.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2017-06-19
- Stop
- 2017-06-19
The parties
- Patient
- patient Corrina Joyce Shanahan
- Provider
- provider Claudia Bauch
- Care site
- care site THE VILLA AT ST LOUIS PARK
- Payer
- payer Anthem
Record id
21b692df-92b8-fcf1-ffb6-98f9a714dd31