Claim total
$11,330.10
base $127.17 · payer covered $8,955.76
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2025-07-29
- Stop
- 2025-07-29
The parties
- Patient
- patient Devon Dwight Leuschke
- Provider
- provider Alia Gaylord
- Care site
- care site MIDWEST HOME HEALTHCARE LLC
- Payer
- payer Medicare
Record id
346c747a-f14d-f67f-560e-e0da81188fdc