Claim total
$8,391.71
base $127.17 · payer covered $1,476.80
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2019-08-11
- Stop
- 2019-08-11
The parties
- Patient
- patient Leif Darren West
- Provider
- provider Shellie Pacocha
- Care site
- care site MILS HOME HEALTH CARE AGENCY
- Payer
- payer Humana
Record id
04bc601b-5b17-3710-30d6-57311cc6ad5c