Claim total
$15,361.54
base $127.17 · payer covered $5,677.65
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2024-10-28
- Stop
- 2024-10-28
The parties
- Patient
- patient Ivory Veum
- Provider
- provider Rusty Hegmann
- Care site
- care site BAYADA HOME HEALTH CARE INC
- Payer
- payer Humana
Record id
0c151491-ce0b-ae3c-aa0f-f430a7188c37