Claim total
$5,724.97
base $127.17 · payer covered $994.13
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2018-06-02
- Stop
- 2018-06-02
The parties
- Patient
- patient Marceline Louvenia Weber
- Provider
- provider Alia Gaylord
- Care site
- care site MIDWEST HOME HEALTHCARE LLC
- Payer
- payer Cigna Health
Record id
0c2cb31c-70e9-30a2-0c8c-ae96311cb7e2