Claim total
$15,361.54
base $127.17 · payer covered $15,311.54
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2020-03-29
- Stop
- 2020-03-29
The parties
- Patient
- patient Sterling Eugenio Osinski
- Provider
- provider Emmanuel Champlin
- Care site
- care site CREST VIEW HOME HEALTH CARE
- Payer
- payer Medicaid
Record id
1ffa429d-4447-d14e-9330-bece50bb9d98