Claim total
$6,219.64
base $127.17 · payer covered $6,219.64
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2022-07-27
- Stop
- 2022-07-27
The parties
- Patient
- patient Yuko Omega Hettinger
- Provider
- provider Bennie Gutkowski
- Care site
- care site FAIRVIEW UNIVERSITY TRANS SERV
- Payer
- payer Humana
Record id
2f7d8446-1bbf-083f-7930-878821522ede