Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2019-10-16
- Stop
- 2019-10-16
The parties
- Patient
- patient Norris Rigoberto Walker
- Provider
- provider Branden Hane
- Care site
- care site RECOVER HEALTH
- Payer
- payer No insurance
Record id
2b6e6bde-a769-b695-78f5-4591fdbf812c