Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 1980-10-20
- Stop
- 1980-10-20
The parties
- Patient
- patient Brittany Britta Haag
- Provider
- provider Rusty Hegmann
- Care site
- care site BAYADA HOME HEALTH CARE INC
- Payer
- payer Humana
Record id
30d4e96f-1367-bb06-b65b-489498e15751