Claim total
$7,161.48
base $127.17 · payer covered $5,343.33
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2018-03-09
- Stop
- 2018-03-09
The parties
- Patient
- patient Johnsie Tressie Conn
- Provider
- provider Allan Rowe
- Payer
- payer UnitedHealthcare
Record id
13f47f2e-4184-0fa2-c0ac-85adeb3e226b