Claim total
$538.47
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 183460006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-03-21
- Stop
- 2017-03-21
The parties
- Patient
- patient Sherill Ingeborg Wyman
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer No insurance
Record id
03eccc4c-a1c4-14ad-7ff1-c7a62e24fa6e