Claim total
$13,921.91
base $127.17 · payer covered $6,079.06
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2022-09-19
- Stop
- 2022-09-19
The parties
- Patient
- patient Cyril Lyman Flatley
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Humana
Record id
38cacc0d-eb65-0637-3d46-1867e9a6d2e1