Claim total
$8,140.60
base $127.17 · payer covered $5,733.13
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2022-05-29
- Stop
- 2022-05-29
The parties
- Patient
- patient César Ramón Mora
- Provider
- provider Bennie O'Keefe
- Payer
- payer UnitedHealthcare
Record id
220c0399-d7a9-9463-5adf-781622ff38a6