Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2023-03-07
- Stop
- 2023-03-07
The parties
- Patient
- patient Ellis Ava Walter
- Provider
- provider Grant Miller
- Care site
- care site OUR LADY OF PEACE HOME CARE
Record id
3aaf63ad-d263-2868-b963-0012b27de9d4