Claim total
$127.17
base $127.17 · payer covered $77.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Overdose1149222004
- Start
- 2024-02-02
- Stop
- 2024-02-02
The parties
- Patient
- patient Florentino Crooks
- Provider
- provider Óscar Quiñones
- Care site
- care site IN-HOME LAB CONNECTION INC
- Payer
- payer Medicaid
Record id
0ed645d3-1659-0a65-d1b1-35445069e478