Claim total
$15,361.54
base $127.17 · payer covered $8,699.89
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2022-03-08
- Stop
- 2022-03-08
The parties
- Patient
- patient Lindsay Luigi Moen
- Provider
- provider Elisabeth Smith
Record id
098c4038-017d-a828-49f2-6c44a1a7b0c0