Claim total
$12,366.17
base $127.17 · payer covered $9,892.94
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2019-04-23
- Stop
- 2019-04-23
The parties
- Patient
- patient Evan Daniel Ziemann
- Provider
- provider Óscar Quiñones
- Care site
- care site IN-HOME LAB CONNECTION INC
- Payer
- payer Medicare
Record id
24acc780-1907-3987-35e1-1cda36e6cc43