Claim total
$3,935.75
base $127.17 · payer covered $3,900.75
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2019-08-02
- Stop
- 2019-08-02
The parties
- Patient
- patient Kamala Berge
- Provider
- provider Claudia Bauch
- Care site
- care site THE VILLA AT ST LOUIS PARK
- Payer
- payer Dual Eligible
Record id
298d869d-d937-6799-9932-23d2e5e1c43c