Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Overdose1149222004
- Start
- 2003-10-19
- Stop
- 2003-10-19
The parties
- Patient
- patient Luisa Genna Jenkins
- Provider
- provider Claudia Bauch
- Care site
- care site THE VILLA AT ST LOUIS PARK
- Payer
- payer No insurance
Record id
243e9beb-0e9e-edb5-62a6-0d79b0584326