Claim total
$9,198.45
base $127.17 · payer covered $7,269.14
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2024-09-12
- Stop
- 2024-09-12
The parties
- Patient
- patient Lonnie Larkin
- Provider
- provider Emmanuel Champlin
- Care site
- care site CREST VIEW HOME HEALTH CARE
- Payer
- payer Anthem
Record id
23b2f8e1-4868-fc1e-8832-a1fc02eb1b4b