Claim total
$11,506.19
base $127.17 · payer covered $6,109.93
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2022-02-26
- Stop
- 2022-02-26
The parties
- Patient
- patient Juana Alaina Schinner
- Provider
- provider Sonny Zboncak
- Care site
- care site CREST VIEW LUTHERAN HOME
- Payer
- payer Cigna Health
Record id
296a6505-d5a9-51c2-e785-2626cd567a1e