Claim total
$13,511.40
base $127.17 · payer covered $13,418.72
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2021-07-22
- Stop
- 2021-07-22
The parties
- Patient
- patient Dawne Hue Swaniawski
- Provider
- provider Allan Rowe
- Payer
- payer Medicaid
Record id
293bca4a-008e-b7e9-719c-db387959f777