Claim total
$4,854.63
base $127.17 · payer covered $3,883.71
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2025-12-21
- Stop
- 2025-12-21
The parties
- Patient
- patient Norman Lanny Bosco
- Provider
- provider Claudia Bauch
- Care site
- care site THE VILLA AT ST LOUIS PARK
- Payer
- payer Anthem
Record id
301c4089-783b-8ccf-045e-665fc2740bd2