Claim total
$5,720.50
base $127.17 · payer covered $1,126.82
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2021-04-03
- Stop
- 2021-04-03
The parties
- Patient
- patient Hector Royal Schinner
- Provider
- provider Elisabeth Smith
- Payer
- payer Aetna
Record id
227c0989-b799-e589-4185-cedb4949fdad