Claim total
$538.47
base $127.17 · payer covered $430.78
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of knee125601008
- Start
- 2019-09-27
- Stop
- 2019-09-27
The parties
- Patient
- patient Carmen Gia Robel
- Provider
- provider Alia Gaylord
- Care site
- care site MIDWEST HOME HEALTHCARE LLC
- Payer
- payer Medicare
Record id
0b18fec5-d601-b59b-59a6-65ba348a5efe