Claim total
$3,935.75
base $127.17 · payer covered $2,127.58
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2022-06-25
- Stop
- 2022-06-25
The parties
- Patient
- patient Milo Noble O'Conner
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Anthem
Record id
2cce442b-b013-2e8d-1b43-e4580c7b7e5f