Claim total
$6,722.04
base $127.17 · payer covered $6,687.04
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2014-06-18
- Stop
- 2014-06-18
The parties
- Patient
- patient Delbert Steuber
- Provider
- provider Emmanuel Champlin
- Care site
- care site CREST VIEW HOME HEALTH CARE
- Payer
- payer Dual Eligible
Record id
23b57b91-5135-9e20-bed5-2bfec8001b87