Claim total
$4,374.60
base $127.17 · payer covered $4,374.60
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2024-11-16
- Stop
- 2024-11-16
The parties
- Patient
- patient Hosea Reyes Fay
- Provider
- provider Rashad Wilderman
- Care site
- care site EVERYTIME HOME CARE
- Payer
- payer Cigna Health
Record id
1b836216-0e85-6d8a-5081-337f970f8179