Claim total
$6,908.44
base $127.17 · payer covered $2,469.61
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2017-04-13
- Stop
- 2017-04-13
The parties
- Patient
- patient Emmy Lauretta Mosciski
- Provider
- provider Bennie O'Keefe
- Payer
- payer Cigna Health
Record id
21c1fd09-3f57-58b5-322d-8e45e6fcdac7