Claim total
$949.77
base $127.17 · payer covered $759.82
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2022-10-07
- Stop
- 2022-10-07
The parties
- Patient
- patient Jani Yolando Nitzsche
- Provider
- provider Claudia Bauch
- Care site
- care site THE VILLA AT ST LOUIS PARK
- Payer
- payer Medicare
Record id
04f07ca4-67b1-b65a-6319-693ce437e98a