Claim total
$8,162.30
base $127.17 · payer covered $8,112.30
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2019-02-12
- Stop
- 2019-02-12
The parties
- Patient
- patient Vivienne Cathy Torphy
- Provider
- provider Marquerite Swaniawski
- Payer
- payer Medicaid
Record id
313c7bdc-0a33-9525-60f5-5cc909346111