Claim total
$11,426.53
base $127.17 · payer covered $8,052.90
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2024-04-29
- Stop
- 2024-04-30
The parties
- Patient
- patient Georgianna Swift
- Provider
- provider Shellie Pacocha
- Care site
- care site MILS HOME HEALTH CARE AGENCY
- Payer
- payer UnitedHealthcare
Record id
01573994-0592-a477-5bc0-8a3aff3a778a