Claim total
$4,992.38
base $127.17 · payer covered $3,993.90
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2020-04-11
- Stop
- 2020-04-11
The parties
- Patient
- patient Keith Blake Smith
- Provider
- provider Claudia Bauch
- Care site
- care site THE VILLA AT ST LOUIS PARK
- Payer
- payer Medicare
Record id
1287b12a-d9e6-c5db-5b2b-5750ae1bf486