Claim total
$6,916.32
base $127.17 · payer covered $5,533.06
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2017-10-21
- Stop
- 2017-10-22
The parties
- Patient
- patient Denyse Torrie Reinger
- Provider
- provider Shellie Pacocha
- Care site
- care site MILS HOME HEALTH CARE AGENCY
- Payer
- payer UnitedHealthcare
Record id
0ee02ff8-c9f0-dcd4-e54b-c7d5e3413f0c