Claim total
$3,935.75
base $127.17 · payer covered $3,885.75
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2026-07-08
- Stop
- 2026-07-08
The parties
- Patient
- patient Hiram Dillon Lind
- Provider
- provider Evalyn Torphy
- Care site
- care site ALLIANCE HHC & NURSING SERVICE
- Payer
- payer Medicaid
Record id
24c3fed1-e126-e512-bf6e-ce6f9c3acf8a