Claim total
$949.77
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2023-06-10
- Stop
- 2023-06-10
The parties
- Patient
- patient Charlyn Gaylord
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Cigna Health
Record id
06497b58-bf50-66ab-034c-37362aceeb98