Claim total
$7,948.65
base $127.17 · payer covered $7,898.65
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2021-01-14
- Stop
- 2021-01-14
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-e53c-5ae8521ebcc2