Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Overdose1149222004
- Start
- 2014-09-07
- Stop
- 2014-09-07
The parties
- Patient
- patient Santiago Guzmán
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer No insurance
Record id
208dbdf9-fd6d-9022-e383-7b322683e90d