Claim total
$127.17
base $127.17 · payer covered $89.02
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 2017-01-25
- Stop
- 2017-01-25
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-fcc8-717db1c7d10d