Claim total
$538.47
base $127.17 · payer covered $376.93
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Gunshot wound283545005
- Start
- 2025-01-03
- Stop
- 2025-01-04
The parties
- Patient
- patient Milford Alfonso Thiel
- Provider
- provider Elisabeth Smith
- Payer
- payer Cigna Health
Record id
1f816600-b043-d586-dc87-10103c207081