Claim total
$3,935.75
base $127.17 · payer covered $3,885.75
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2021-01-10
- Stop
- 2021-01-10
The parties
- Patient
- patient Maranda Natalia Keebler
- Provider
- provider Sheree Kreiger
- Care site
- care site MARANATHA CARE CENTER
- Payer
- payer Medicaid
Record id
2d055ee5-b453-45ff-b892-9be70f0676e1