Claim total
$5,231.41
base $127.17 · payer covered $785.28
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2017-11-10
- Stop
- 2017-11-10
The parties
- Patient
- patient Sol Curtis Hahn
- Provider
- provider Alia Gaylord
- Care site
- care site MIDWEST HOME HEALTHCARE LLC
Record id
15a879af-2f3f-5e4d-ff13-292e0a4fb395