Claim total
$6,284.31
base $127.17 · payer covered $6,234.31
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2021-02-18
- Stop
- 2021-02-18
The parties
- Patient
- patient Tyesha Stracke
- Provider
- provider Sonny Zboncak
- Care site
- care site CREST VIEW LUTHERAN HOME
- Payer
- payer Medicaid
Record id
32352733-5e06-0dd5-345d-62943bc57f96