Claim total
$7,645.15
base $127.17 · payer covered $6,116.12
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2023-03-08
- Stop
- 2023-03-08
The parties
- Patient
- patient Elena Shaunna Volkman
- Provider
- provider Sonny Zboncak
- Care site
- care site CREST VIEW LUTHERAN HOME
- Payer
- payer UnitedHealthcare
Record id
2bd6134b-a178-5d14-18d2-79787806aaf3