Claim total
$127.17
base $127.17 · payer covered $77.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 2022-07-27
- Stop
- 2022-07-27
The parties
- Patient
- patient Liberty Gleason
- Provider
- provider Reginald Bruen
- Payer
- payer Medicaid
Record id
344f871b-500b-2faa-cd25-96c7c3514873