Claim total
$11,160.52
base $127.17 · payer covered $11,160.52
The visit
- Class
- Emergency
- Code
- 183460006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-09-21
- Stop
- 2018-09-21
The parties
- Patient
- patient Cristina Caridad Salcedo
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Humana
Record id
031e24ca-9978-b353-bed4-20c7ef754783