Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2025-08-11
- Stop
- 2025-08-11
The parties
- Patient
- patient Carolee Shenna Franecki
- Provider
- provider Claudia Bauch
- Care site
- care site THE VILLA AT ST LOUIS PARK
Record id
05da998f-3dd0-aeca-ed73-4401c64c4b9d