Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Concussion injury of brain110030002
- Start
- 2017-09-19
- Stop
- 2017-09-19
The parties
- Patient
- patient Bobby Walter Rowe
- Provider
- provider Claudia Bauch
- Care site
- care site THE VILLA AT ST LOUIS PARK
- Payer
- payer UnitedHealthcare
Record id
340d6d1c-e156-2a6a-a461-e1dfbec981c6