Claim total
$127.17
base $127.17 · payer covered $101.74
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 2016-10-31
- Stop
- 2016-11-01
The parties
- Patient
- patient Harris Darin Mills
- Provider
- provider Claudia Bauch
- Care site
- care site THE VILLA AT ST LOUIS PARK
- Payer
- payer Medicare
Record id
1e9a2bb2-1f89-235a-415b-5f1de9a93657