Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2024-01-15
- Stop
- 2024-01-15
The parties
- Patient
- patient Rosy Angelic Lowe
- Provider
- provider Evalyn Torphy
- Care site
- care site ALLIANCE HHC & NURSING SERVICE
- Payer
- payer No insurance
Record id
30483e60-db83-84dc-b54d-9c8b8a59202f