Claim total
$7,329.15
base $127.17 · payer covered $7,279.15
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2024-05-25
- Stop
- 2024-05-25
The parties
- Patient
- patient Rose Enola Mann
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Medicaid
Record id
0e253527-504c-e850-d66a-b91e8c99a651