Claim total
$15,361.54
base $127.17 · payer covered $6,097.51
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2018-08-09
- Stop
- 2018-08-09
The parties
- Patient
- patient Miles Auer
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Aetna
Record id
02b37b89-9593-6a10-a601-34c161c49b9f