Claim total
$8,820.05
base $127.17 · payer covered $8,770.05
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Seizure disorder128613002
- Start
- 1942-07-20
- Stop
- 1942-07-20
The parties
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Medicaid
Record id
0126321a-a5af-784d-85be-01479fa408b4