Claim total
$11,085.17
base $127.17 · payer covered $3,482.96
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2021-01-08
- Stop
- 2021-01-08
The parties
- Patient
- patient Dacia Emilie Beahan
- Provider
- provider Elisabeth Smith
- Payer
- payer Humana
Record id
20ef5063-3118-2154-a60c-5f8a31e7a27b