Claim total
$4,268.54
base $127.17 · payer covered $2,456.66
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2016-09-02
- Stop
- 2016-09-03
The parties
- Patient
- patient Norberto Harvey
- Provider
- provider Shellie Pacocha
- Care site
- care site MILS HOME HEALTH CARE AGENCY
- Payer
- payer UnitedHealthcare
Record id
3270f7b2-19de-4cdd-4499-dd69ecdeccd9