Claim total
$3,935.75
base $127.17 · payer covered $2,711.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2023-04-15
- Stop
- 2023-04-15
The parties
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer UnitedHealthcare
Record id
3a86b7c8-d29b-6af3-2b07-714e614db380