Claim total
$127.17
base $127.17 · payer covered $92.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2019-08-23
- Stop
- 2019-08-23
The parties
- Patient
- patient Wesley Aron Barton
- Provider
- provider Reginald Bruen
- Payer
- payer Dual Eligible
Record id
2eb86dfb-4252-0570-6dab-759b70448c18