Claim total
$8,528.89
base $127.17 · payer covered $8,478.89
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2018-08-05
- Stop
- 2018-08-05
The parties
- Patient
- patient Hildred Melda Prohaska
- Provider
- provider Juli Predovic
- Care site
- care site KINDRED AT HOME
- Payer
- payer Medicaid
Record id
0be9d3c3-0d2e-b0d7-f236-2ecfb4f25ecb