Claim total
$5,781.35
base $127.17 · payer covered $3,536.76
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2021-05-19
- Stop
- 2021-05-19
The parties
- Provider
- provider Raymond Ebert
- Care site
- care site CARONDELET VILLAGE CARE CENTER
- Payer
- payer Anthem
Record id
342009d8-81ff-1cd2-0b6e-406cff55c236