Claim total
$3,935.75
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2020-05-12
- Stop
- 2020-05-12
The parties
- Provider
- provider Óscar Quiñones
- Care site
- care site IN-HOME LAB CONNECTION INC
- Payer
- payer No insurance
Record id
0c528683-7090-9731-d35b-ed3b61ba5741