Claim total
$13,059.39
base $127.17 · payer covered $13,009.39
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2023-07-27
- Stop
- 2023-07-27
The parties
- Patient
- patient Dario Vincent Parker
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Medicaid
Record id
2c1ff194-6001-850f-40f9-d9759f1973bd