Claim total
$127.17
base $127.17 · payer covered $101.74
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2023-07-11
- Stop
- 2023-07-11
The parties
- Patient
- patient Earnest Clark Boehm
- Provider
- provider Claudia Bauch
- Care site
- care site THE VILLA AT ST LOUIS PARK
- Payer
- payer UnitedHealthcare
Record id
1d4e45dc-146b-0e0e-5733-58a32eaff20a