Claim total
$4,992.38
base $127.17 · payer covered $4,942.38
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2005-09-10
- Stop
- 2005-09-10
The parties
- Patient
- patient María Micaela Magaña
- Provider
- provider Elisabeth Smith
- Payer
- payer Medicaid
Record id
0b835039-e875-4ecd-6d8e-f1ecffb80d15