Claim total
$801.03
base $127.17 · payer covered $801.03
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- —
- Start
- 2015-07-23
- Stop
- 2015-07-23
The parties
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Medicare
Record id
0366d403-b006-0b76-36cf-58d5f3db49e0