Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Concussion injury of brain110030002
- Start
- 2020-03-28
- Stop
- 2020-03-28
The parties
- Patient
- patient Mellissa Huel
- Provider
- provider Sheree Kreiger
- Care site
- care site MARANATHA CARE CENTER
- Payer
- payer Humana
Record id
24279c3b-8088-78d2-4909-2d15ece0b8fc