Claim total
$6,797.41
base $127.17 · payer covered $6,698.91
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2025-04-15
- Stop
- 2025-04-15
The parties
- Patient
- patient Will Kris
- Provider
- provider Raymond Ebert
- Care site
- care site CARONDELET VILLAGE CARE CENTER
- Payer
- payer Medicaid
Record id
0b248530-a284-d3a0-edaf-34a029e0606c