Claim total
$3,935.75
base $127.17 · payer covered $1,065.41
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2020-05-19
- Stop
- 2020-05-19
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-70e9-30a2-41ff-af120d9f716b