Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2026-07-12
- Stop
- 2026-07-12
The parties
- Patient
- patient Eva Duran
- Provider
- provider Claudia Bauch
- Care site
- care site THE VILLA AT ST LOUIS PARK
- Payer
- payer Medicare
Record id
2a651a9e-ca88-4c92-cc9a-50ab52732a1d