Claim total
$11,891.69
base $127.17 · payer covered $6,590.98
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2025-02-18
- Stop
- 2025-02-18
The parties
- Patient
- patient Theodore Emory Parisian
- Provider
- provider Sonny Zboncak
- Care site
- care site CREST VIEW LUTHERAN HOME
- Payer
- payer Cigna Health
Record id
13bbd9ac-5c42-f173-90e8-e2d441ebe001