Claim total
$1,361.07
base $127.17 · payer covered $979.50
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- —
- Start
- 2018-08-09
- Stop
- 2018-08-09
The parties
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Medicare
Record id
0366d403-b006-0b76-77fc-ea2742c5c9d5