Claim total
$3,935.75
base $127.17 · payer covered $2,060.28
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2022-11-15
- Stop
- 2022-11-15
The parties
- Patient
- patient Verona Ginger O'Keefe
- Provider
- provider Sonny Zboncak
- Care site
- care site CREST VIEW LUTHERAN HOME
- Payer
- payer UnitedHealthcare
Record id
04161a30-0372-a815-38ac-735a9cd8995b