Claim total
$8,307.01
base $127.17 · payer covered $6,168.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2018-01-08
- Stop
- 2018-01-08
The parties
- Patient
- patient Nanci Lourie Rath
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer UnitedHealthcare
Record id
019cb7db-9e62-def9-0322-96807eb3f064