Claim total
$6,638.51
base $127.17 · payer covered $4,277.41
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2025-10-29
- Stop
- 2025-10-29
The parties
- Patient
- patient Carson Kelvin Haag
- Provider
- provider Allan Rowe
- Payer
- payer UnitedHealthcare
Record id
06937957-309c-6315-833d-8926721c9aac