Claim total
$10,812.09
base $127.17 · payer covered $8,649.68
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2023-09-08
- Stop
- 2023-09-08
The parties
- Patient
- patient Erwin Eli Hackett
- Provider
- provider Alia Gaylord
- Care site
- care site MIDWEST HOME HEALTHCARE LLC
- Payer
- payer Medicare
Record id
24f27ab5-b47f-0e8d-e7ed-bd5076906fa5