Claim total
$8,052.50
base $127.17 · payer covered $8,017.50
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2023-12-09
- Stop
- 2023-12-09
The parties
- Provider
- provider Óscar Quiñones
- Care site
- care site IN-HOME LAB CONNECTION INC
- Payer
- payer Dual Eligible
Record id
0da4d500-73bd-541a-f6cc-63d79de6dcc0