Claim total
$9,975.29
base $127.17 · payer covered $9,940.29
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2018-03-01
- Stop
- 2018-03-01
The parties
- Patient
- patient Sherlyn Cole
- Provider
- provider Emmanuel Champlin
- Care site
- care site CREST VIEW HOME HEALTH CARE
- Payer
- payer Dual Eligible
Record id
1e9fb832-95b3-4a58-d026-f834ff3152a7