Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2021-10-04
- Stop
- 2021-10-04
The parties
- Patient
- patient Aron Jamey Padberg
- Provider
- provider Elisabeth Smith
- Payer
- payer Humana
Record id
22187bc1-3867-6bce-d93b-cfc4d1008a7e