Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2020-07-31
- Stop
- 2020-07-31
The parties
- Patient
- patient Clifton Jay Hoppe
- Provider
- provider Claudia Bauch
- Care site
- care site THE VILLA AT ST LOUIS PARK
- Payer
- payer Humana
Record id
3a49cf50-5b80-6ce4-b088-9f8a9fd267af