Claim total
$538.47
base $127.17 · payer covered $488.47
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of knee125601008
- Start
- 2023-01-08
- Stop
- 2023-01-08
The parties
- Patient
- patient Eugene Kreiger
- Provider
- provider Alia Gaylord
- Care site
- care site MIDWEST HOME HEALTHCARE LLC
- Payer
- payer Medicaid
Record id
1d4b71eb-b261-07f7-0a45-e2b20bce61e5