Claim total
$4,268.51
base $127.17 · payer covered $4,218.51
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2023-03-24
- Stop
- 2023-03-24
The parties
- Patient
- patient Jamison Spencer
- Provider
- provider Alia Gaylord
- Care site
- care site MIDWEST HOME HEALTHCARE LLC
- Payer
- payer Medicaid
Record id
322af8b2-a1f4-5e36-ae84-b21145b149a3