Claim total
$949.77
base $127.17 · payer covered $914.77
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2020-03-27
- Stop
- 2020-03-27
The parties
- Patient
- patient Arvilla Cummings
- Provider
- provider Claudia Bauch
- Care site
- care site THE VILLA AT ST LOUIS PARK
- Payer
- payer Dual Eligible
Record id
20950ce0-88d5-8d6a-a3db-a1561d555a23