Claim total
$8,162.30
base $127.17 · payer covered $2,631.93
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2026-06-24
- Stop
- 2026-06-24
The parties
- Patient
- patient Keesha Jacinda Raynor
- Provider
- provider Alia Gaylord
- Care site
- care site MIDWEST HOME HEALTHCARE LLC
Record id
21a094e7-5e42-b03c-522b-e3bc19735119