Claim total
$7,281.70
base $127.17 · payer covered $2,786.60
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2018-10-29
- Stop
- 2018-10-29
The parties
- Patient
- patient Shon Treutel
- Provider
- provider Alia Gaylord
- Care site
- care site MIDWEST HOME HEALTHCARE LLC
- Payer
- payer Cigna Health
Record id
22038bd6-13c2-0b0a-dff0-c6dce5ebb36c