Claim total
$538.47
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Gunshot wound283545005
- Start
- 2019-08-10
- Stop
- 2019-08-10
The parties
- Patient
- patient Huong Verla Wilderman
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Aetna
Record id
3457d972-15d5-e8c6-3949-a60ee9dbef83