Claim total
$18,177.27
base $127.17 · payer covered $18,127.27
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2021-01-01
- Stop
- 2021-01-01
The parties
- Patient
- patient Doris Heathcote
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Medicaid
Record id
18a48ad3-860f-6d9d-d503-4181f5109f48