Claim total
$538.47
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of knee125601008
- Start
- 2022-08-24
- Stop
- 2022-08-24
The parties
- Patient
- patient Briana Doretta Schoen
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Anthem
Record id
3813a15c-3878-6317-b24c-16abd6a4efef