Claim total
$538.47
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Gunshot wound283545005
- Start
- 2023-05-06
- Stop
- 2023-05-06
The parties
- Patient
- patient Maricela Howell
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Humana
Record id
3abd9004-9a59-3def-cf4f-0c09437cddce