Claim total
$3,935.75
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2021-02-03
- Stop
- 2021-02-03
The parties
- Patient
- patient Florencio Medhurst
- Provider
- provider Rashad Wilderman
- Care site
- care site EVERYTIME HOME CARE
- Payer
- payer Humana
Record id
2ec8f470-d0f8-40e2-16e4-a2ffd26bc809