Claim total
$35,949.48
base $76.30 · payer covered $28,035.65
The visit
- Class
- Emergency
- Code
- 185347001
- Reason
- diagnosis concept Sepsis91302008
- Start
- 1978-12-22
- Stop
- 1979-01-12
The parties
- Patient
- patient Simon Frederic Gulgowski
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer UnitedHealthcare
Record id
034c4f48-8c73-4f35-5ff9-a2eaa5eeaa4f