Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Burn injury48333001
- Start
- 2018-08-20
- Stop
- 2018-08-20
The parties
- Patient
- patient Roscoe Auer
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Anthem
Record id
0cce4f7a-8ecc-73d8-63a0-3a807868cb5c