Claim total
$127.17
base $127.17 · payer covered $101.74
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Burn injury48333001
- Start
- 2022-09-28
- Stop
- 2022-09-28
The parties
- Patient
- patient Santiago Guzmán
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Medicare
Record id
208dbdf9-fd6d-9022-ee6f-2a98a9c853e0