Claim total
$5,496.81
base $127.17 · payer covered $455.86
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2023-06-22
- Stop
- 2023-06-22
The parties
- Patient
- patient Mellissa Huel
- Provider
- provider Sheree Kreiger
- Care site
- care site MARANATHA CARE CENTER
- Payer
- payer Humana
Record id
24279c3b-8088-78d2-e223-c63533f1dce5