Claim total
$3,935.75
base $127.17 · payer covered $1,982.20
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2016-10-12
- Stop
- 2016-10-12
The parties
- Patient
- patient Carson Kelvin Haag
- Provider
- provider Allan Rowe
- Payer
- payer UnitedHealthcare
Record id
06937957-309c-6315-ef04-8e2bc6d3531a