Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 2020-10-17
- Stop
- 2020-10-17
The parties
- Patient
- patient Aletha Quinn Littel
- Provider
- provider Marquerite Swaniawski
- Payer
- payer Anthem
Record id
381f3736-3813-7483-23f6-ee5303b95b04