Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2023-11-17
- Stop
- 2023-11-17
The parties
- Patient
- patient Salvador Elmo Mosciski
- Provider
- provider Claudia Bauch
- Care site
- care site THE VILLA AT ST LOUIS PARK
Record id
06a67574-2b05-3c67-e498-f10015bd3b16