Claim total
$5,106.21
base $127.17 · payer covered $236.95
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- —
- Start
- 2025-05-21
- Stop
- 2025-05-21
The parties
- Patient
- patient Ellis Dooley
- Provider
- provider Rashad Wilderman
- Care site
- care site EVERYTIME HOME CARE
- Payer
- payer Humana
Record id
102ec4ce-836b-a335-c661-a35e870582df