Claim total
$949.77
base $127.17 · payer covered $899.77
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2016-12-05
- Stop
- 2016-12-05
The parties
- Patient
- patient Elia Felicia Mueller
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Medicaid
Record id
2a6e0e9c-1e79-6845-c75c-b4cfad7a1ab3