Claim total
$5,359.47
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2023-01-16
- Stop
- 2023-01-16
The parties
- Patient
- patient Rudolph Jae Volkman
- Provider
- provider Claudia Bauch
- Care site
- care site THE VILLA AT ST LOUIS PARK
- Payer
- payer No insurance
Record id
28f60ff5-0fcf-1361-11b3-214716927741