Claim total
$6,684.63
base $127.17 · payer covered $5,347.71
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2006-12-29
- Stop
- 2006-12-29
The parties
- Patient
- patient Aurora Desire Raynor
- Provider
- provider Sonny Zboncak
- Care site
- care site CREST VIEW LUTHERAN HOME
- Payer
- payer Medicare
Record id
124b3f89-9575-2f99-edbd-c346eafa8454