Claim total
$3,935.75
base $127.17 · payer covered $3,148.60
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2020-01-21
- Stop
- 2020-01-21
The parties
- Patient
- patient Lenard Sherwood Marvin
- Provider
- provider Davida Wolff
- Payer
- payer Medicare
Record id
17c8cd6c-6949-5e5b-324c-e9e16e15c7bc