Claim total
$3,935.75
base $127.17 · payer covered $3,148.60
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2025-02-28
- Stop
- 2025-02-28
The parties
- Patient
- patient Verda Mariette Ruecker
- Provider
- provider Alia Gaylord
- Care site
- care site MIDWEST HOME HEALTHCARE LLC
- Payer
- payer UnitedHealthcare
Record id
26263485-8712-cf88-3eb2-d2738b2c4c94