Claim total
$3,935.75
base $127.17 · payer covered $3,148.60
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2017-05-24
- Stop
- 2017-05-24
The parties
- Patient
- patient Abigail Erica Sauer
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Medicare
Record id
026ed208-10c9-c46f-ceda-ec023a646e2e