Claim total
$8,943.87
base $127.17 · payer covered $8,908.87
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2017-02-28
- Stop
- 2017-02-28
The parties
- Patient
- patient Justin Hai Altenwerth
- Provider
- provider Rashad Wilderman
- Care site
- care site EVERYTIME HOME CARE
- Payer
- payer Dual Eligible
Record id
0eb7ef7b-4862-efa5-4678-dd59905eb4a6