Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Burn injury48333001
- Start
- 2020-05-21
- Stop
- 2020-05-21
The parties
- Patient
- patient Assunta Kuhic
- Provider
- provider Sheree Kreiger
- Care site
- care site MARANATHA CARE CENTER
- Payer
- payer Cigna Health
Record id
0bd86591-5816-0843-1eaf-0b330a78e40a