Claim total
$12,496.86
base $127.17 · payer covered $9,997.49
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2020-02-01
- Stop
- 2020-02-01
The parties
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Medicare
Record id
0743cfb3-f6a5-0a94-f310-7cb35ba1956a