Claim total
$949.77
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2026-01-07
- Stop
- 2026-01-07
The parties
- Patient
- patient Alfredo Miguel Dueñas
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Anthem
Record id
0a68c726-4ca2-22cc-01aa-39a01b6b74f1