Claim total
$5,149.18
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2017-10-18
- Stop
- 2017-10-18
The parties
- Patient
- patient Angle Rosalina Okuneva
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Aetna
Record id
0190d3b1-c50c-bf7b-ff09-78a8a6928923