Claim total
$15,361.54
base $127.17 · payer covered $12,289.24
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2021-10-10
- Stop
- 2021-10-10
The parties
- Patient
- patient Larue Wisoky
- Provider
- provider Allan Rowe
- Payer
- payer UnitedHealthcare
Record id
1b9bb4ac-9c45-3ef6-0477-d341e3910820