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
- 2022-06-15
- Stop
- 2022-06-15
The parties
- Patient
- patient Phillip Donovan Beahan
- Provider
- provider Evalyn Torphy
- Care site
- care site ALLIANCE HHC & NURSING SERVICE
- Payer
- payer Cigna Health
Record id
248f8008-89fe-dc1a-b2ee-3473af968618