Claim total
$3,935.75
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2018-01-08
- Stop
- 2018-01-08
The parties
- Patient
- patient Juana Alaina Schinner
- Provider
- provider Sonny Zboncak
- Care site
- care site CREST VIEW LUTHERAN HOME
- Payer
- payer Cigna Health
Record id
296a6505-d5a9-51c2-8089-f0199d6d8e68