Claim total
$3,935.75
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2017-06-13
- Stop
- 2017-06-13
The parties
- Patient
- patient Phillip Donovan Beahan
- Provider
- provider Evalyn Torphy
- Care site
- care site ALLIANCE HHC & NURSING SERVICE
- Payer
- payer Aetna
Record id
248f8008-89fe-dc1a-8f3d-d0b1010a9d6c