Claim total
$5,311.32
base $127.17 · payer covered $4,249.06
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2017-01-28
- Stop
- 2017-01-28
The parties
- Patient
- patient Bonita Lehner
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Medicare
Record id
0955adaa-a76f-8e05-43cc-b9fe3b02b671