Claim total
$12,061.98
base $127.17 · payer covered $7,156.78
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2017-12-10
- Stop
- 2017-12-10
The parties
- Patient
- patient Debbi Senger
- Provider
- provider Marquerite Swaniawski
- Payer
- payer Cigna Health
Record id
37bddf43-7b9c-43b9-5eaa-31b8b27806f2