Claim total
$8,429.64
base $127.17 · payer covered $8,379.64
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2025-06-24
- Stop
- 2025-06-24
The parties
- Patient
- patient Renda Sonya MacGyver
- Provider
- provider Raymond Ebert
- Care site
- care site CARONDELET VILLAGE CARE CENTER
- Payer
- payer Medicaid
Record id
3502b5eb-e4fe-8ea0-4524-91b12062af90