Claim total
$127.17
base $127.17 · payer covered $77.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Overdose1149222004
- Start
- 1993-03-24
- Stop
- 1993-03-24
The parties
- Patient
- patient Santa Antonina Bernier
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Medicaid
Record id
051f1153-ae45-1425-8451-57d8caec4759