Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2022-05-17
- Stop
- 2022-05-17
The parties
- Patient
- patient Joetta Antonette Bednar
- Provider
- provider Elisabeth Smith
- Payer
- payer Cigna Health
Record id
2cb8de01-f198-8fe9-44e3-205478b57a38