Claim total
$127.17
base $127.17 · payer covered $101.74
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2010-05-06
- Stop
- 2010-05-06
The parties
- Patient
- patient Gaylene Adell Reynolds
- Provider
- provider Allan Rowe
- Payer
- payer Medicare
Record id
34c15c13-e4f6-1b19-3f10-a4ca68326c5c