Claim total
$7,941.99
base $127.17 · payer covered $6,353.60
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2024-03-31
- Stop
- 2024-03-31
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
24acc780-1907-3987-7c76-7f4b2ed33edf