Claim total
$8,406.00
base $127.17 · payer covered $6,724.80
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2024-11-29
- Stop
- 2024-11-29
The parties
- Patient
- patient Tanner Emile Stehr
- Provider
- provider Shellie Pacocha
- Care site
- care site MILS HOME HEALTH CARE AGENCY
- Payer
- payer Medicare
Record id
04510aef-c62e-a77f-a91e-c55eb635852f