Claim total
$127.17
base $127.17 · payer covered $101.74
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2020-03-03
- Stop
- 2020-03-03
The parties
- Patient
- patient Kareem Beer
- Provider
- provider Claudia Bauch
- Care site
- care site THE VILLA AT ST LOUIS PARK
- Payer
- payer Medicare
Record id
1295a2c8-248a-fa48-eda2-749e92b15a81