Claim total
$127.17
base $127.17 · payer covered $77.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Burn injury48333001
- Start
- 2026-08-26
- Stop
- 2026-08-26
The parties
- Patient
- patient Eddy Garland Morar
- Provider
- provider Emmanuel Champlin
- Care site
- care site CREST VIEW HOME HEALTH CARE
- Payer
- payer Medicaid
Record id
0c6407eb-c959-7ed3-e8ae-2e2d15eec141