Claim total
$6,211.87
base $127.17 · payer covered $1,986.21
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2020-05-24
- Stop
- 2020-05-24
The parties
- Patient
- patient Ellis Ava Walter
- Provider
- provider Grant Miller
- Care site
- care site OUR LADY OF PEACE HOME CARE
Record id
3aaf63ad-d263-2868-3f94-4ee7124a6369