Claim total
$127.17
base $127.17 · payer covered $77.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 2019-05-11
- Stop
- 2019-05-11
The parties
- Patient
- patient Ben Geraldo Bayer
- Provider
- provider Claudia Bauch
- Care site
- care site THE VILLA AT ST LOUIS PARK
- Payer
- payer Medicaid
Record id
35948dc2-f7ab-375d-b8a7-d569183e1043