Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2019-04-06
- Stop
- 2019-04-06
The parties
- Patient
- patient Russell Spencer
- Provider
- provider Óscar Quiñones
- Care site
- care site IN-HOME LAB CONNECTION INC
- Payer
- payer Humana
Record id
3a2f7751-030d-58ef-e5e5-ad9249c56420