Claim total
$127.17
base $127.17 · payer covered $101.74
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2018-06-23
- Stop
- 2018-06-23
The parties
- Patient
- patient Myrtice Kathlene White
- Provider
- provider Alia Gaylord
- Care site
- care site MIDWEST HOME HEALTHCARE LLC
- Payer
- payer UnitedHealthcare
Record id
23fa6ca1-e37e-f9c8-782c-6a31de9b1ff9