Claim total
$6,822.37
base $127.17 · payer covered $5,384.86
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2022-10-27
- Stop
- 2022-10-27
The parties
- Patient
- patient Lorilee Rau
- Provider
- provider Emerson Jast
- Care site
- care site SOUTHSIDE COMMUNITY CLINIC
- Payer
- payer Medicare
Record id
01b2da20-8b0d-5eee-b435-1db976f1b028