Claim total
$127.17
base $127.17 · payer covered $101.74
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Burn injury48333001
- Start
- 2022-01-13
- Stop
- 2022-01-13
The parties
- Provider
- provider Rashad Wilderman
- Care site
- care site EVERYTIME HOME CARE
- Payer
- payer Medicare
Record id
0e6822a3-5e9a-9e56-2a32-c6412d6a3642