Claim total
$15,361.54
base $127.17 · payer covered $7,326.07
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2021-12-25
- Stop
- 2021-12-25
The parties
- Patient
- patient Jesusa Altha Harris
- Provider
- provider Sheree Kreiger
- Care site
- care site MARANATHA CARE CENTER
- Payer
- payer Humana
Record id
075c319c-5d10-4b7a-b839-aeed4264e1bf