Claim total
$4,397.45
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2025-02-15
- Stop
- 2025-02-15
The parties
- Patient
- patient Cleveland Heaney
- Provider
- provider Sonny Zboncak
- Care site
- care site CREST VIEW LUTHERAN HOME
- Payer
- payer Humana
Record id
1733a138-7475-cdd7-cbb7-d6a37c908608