Claim total
$3,935.75
base $127.17 · payer covered $2,863.43
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2024-07-13
- Stop
- 2024-07-13
The parties
- Patient
- patient Seymour Turner
- Provider
- provider Marquerite Swaniawski
- Payer
- payer UnitedHealthcare
Record id
1367afce-4bbf-2c33-7071-5d9d1c3fb462