Claim total
$11,779.06
base $127.17 · payer covered $11,729.06
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2020-07-16
- Stop
- 2020-07-16
The parties
- Patient
- patient Emile Lawerence Lesch
- Provider
- provider Elisabeth Smith
- Payer
- payer Medicaid
Record id
2fda87fd-29fd-b4f1-9709-fcc751ec99aa