Claim total
$5,648.13
base $127.17 · payer covered $276.12
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2021-03-05
- Stop
- 2021-03-05
The parties
- Patient
- patient Long Everette O'Connell
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Humana
Record id
2b42a968-c9dc-d930-f596-9d1f1b2e31d0