Claim total
$7,914.85
base $127.17 · payer covered $7,914.85
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2024-04-11
- Stop
- 2024-04-11
The parties
- Patient
- patient Cassie Kristina Hoeger
- Provider
- provider Alia Gaylord
- Care site
- care site MIDWEST HOME HEALTHCARE LLC
- Payer
- payer UnitedHealthcare
Record id
0071794d-67c4-c06b-8c74-6bca10751e02