Claim total
$4,854.63
base $127.17 · payer covered $3,883.71
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 1993-10-19
- Stop
- 1993-10-19
The parties
- Patient
- patient Princess Felisha Kub
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Medicare
Record id
2918896c-6cc7-6a93-1b5f-e9fe1ea544c6