Claim total
$8,417.08
base $127.17 · payer covered $6,733.67
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2025-04-20
- Stop
- 2025-04-20
The parties
- Patient
- patient Herbert Dorian Hickle
- Provider
- provider Britt Borer
- Care site
- care site OUR LADY OF PEACE HOSPICE
- Payer
- payer Medicare
Record id
0eddbb62-87a6-7f0d-6d0e-2bf6959f4a11