Claim total
$12,360.64
base $127.17 · payer covered $3,759.98
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- —
- Start
- 1996-08-25
- Stop
- 1996-08-25
The parties
- Patient
- patient Tynisha Kerri Padberg
- Provider
- provider Emmanuel Champlin
- Care site
- care site CREST VIEW HOME HEALTH CARE
- Payer
- payer Humana
Record id
27af11aa-2603-d62b-de4e-154fbbb7d7f0