Claim total
$127.17
base $127.17 · payer covered $89.02
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Burn injury48333001
- Start
- 2024-06-01
- Stop
- 2024-06-01
The parties
- Patient
- patient Darrell Rene Larkin
- Provider
- provider Emmanuel Champlin
- Care site
- care site CREST VIEW HOME HEALTH CARE
Record id
29684b42-af54-09cd-badc-db5af6af9554