Claim total
$3,935.75
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2024-06-24
- Stop
- 2024-06-24
The parties
- Patient
- patient Cleo Gutmann
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer No insurance
Record id
226a6af6-0685-9d5b-4546-98a61677a6cc