Claim total
$8,405.40
base $127.17 · payer covered $1,879.50
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2023-10-24
- Stop
- 2023-10-24
The parties
- Patient
- patient Tracey Armando McClure
- Provider
- provider Marquerite Swaniawski
- Payer
- payer Humana
Record id
0a0b3b82-5b44-a574-2d93-fdaa16bd9ca3