Claim total
$5,679.10
base $76.30 · payer covered $5,679.10
The visit
- Class
- Emergency
- Code
- 185347001
- Reason
- diagnosis concept Sepsis91302008
- Start
- 2020-07-20
- Stop
- 2020-07-28
The parties
- Patient
- patient Xuan Collier
- Provider
- provider Bennie O'Keefe
- Payer
- payer Humana
Record id
002d4429-df26-5797-1a4e-ceadb70e4c8a