Claim total
$6,921.77
base $127.17 · payer covered $6,886.77
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2022-07-05
- Stop
- 2022-07-05
The parties
- Patient
- patient Marina Tina Yost
- Provider
- provider Evalyn Torphy
- Care site
- care site ALLIANCE HHC & NURSING SERVICE
- Payer
- payer Dual Eligible
Record id
1b0eb887-279e-786b-7785-911737a8bc80