Claim total
$949.77
base $127.17 · payer covered $759.82
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2022-07-17
- Stop
- 2022-07-17
The parties
- Patient
- patient Celeste Asha Weimann
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Anthem
Record id
289c69a4-077d-4dc6-f3ec-25fd25decfae