Claim total
$3,935.75
base $127.17 · payer covered $3,148.60
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2023-01-19
- Stop
- 2023-01-19
The parties
- Patient
- patient Terrance Derek Mueller
- Provider
- provider Davida Wolff
- Payer
- payer UnitedHealthcare
Record id
032e5f12-51a3-9303-b117-86562eafef2e