Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Burn injury48333001
- Start
- 2021-03-19
- Stop
- 2021-03-19
The parties
- Patient
- patient Cori Yuri Kutch
- Provider
- provider Shellie Pacocha
- Care site
- care site MILS HOME HEALTH CARE AGENCY
- Payer
- payer No insurance
Record id
13c3d085-8419-1059-39ab-2da9b2f271ee