Claim total
$127.17
base $127.17 · payer covered $77.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2024-08-10
- Stop
- 2024-08-10
The parties
- Patient
- patient Liberty Gleason
- Provider
- provider Reginald Bruen
- Payer
- payer Medicaid
Record id
344f871b-500b-2faa-c7ac-20d68ea5218f