Claim total
$15,361.54
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2017-04-08
- Stop
- 2017-04-08
The parties
- Patient
- patient Hettie George Anderson
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer No insurance
Record id
30eb8a8c-56e4-d0fc-3630-f53bc24c90ea