Claim total
$8,724.99
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2004-04-25
- Stop
- 2004-04-25
The parties
- Patient
- patient Jayne Abshire
- Provider
- provider Evalyn Torphy
- Care site
- care site ALLIANCE HHC & NURSING SERVICE
- Payer
- payer No insurance
Record id
2062b820-246f-b872-95e6-65f88b03e608