Claim total
$3,935.75
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2020-12-24
- Stop
- 2020-12-24
The parties
- Patient
- patient Damien Julio Batz
- Provider
- provider Sheree Kreiger
- Care site
- care site MARANATHA CARE CENTER
- Payer
- payer Aetna
Record id
210bb7ad-8fa5-9b58-670e-13f09fcd6432