Claim total
$12,355.17
base $127.17 · payer covered $12,355.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2020-08-27
- Stop
- 2020-08-27
The parties
- Patient
- patient Amal Adrianna Macejkovic
- Provider
- provider Rusty Hegmann
- Care site
- care site BAYADA HOME HEALTH CARE INC
- Payer
- payer Humana
Record id
1cccf0c5-760b-d19d-345b-9c16514e828d