Claim total
$635.60
base $127.17 · payer covered $508.48
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- —
- Start
- 2024-04-24
- Stop
- 2024-04-24
The parties
- Patient
- patient Angle Rosalina Okuneva
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Anthem
Record id
0190d3b1-c50c-bf7b-f7f6-9d1696e7a126