Claim total
$9,520.40
base $127.17 · payer covered $9,470.40
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2026-04-19
- Stop
- 2026-04-19
The parties
- Patient
- patient Eulalia O'Hara
- Provider
- provider Allan Rowe
- Payer
- payer Medicaid
Record id
1efa994e-cd9c-e6f8-1480-b6c1b5d87731