Claim total
$3,935.75
base $127.17 · payer covered $3,885.75
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2022-04-08
- Stop
- 2022-04-08
The parties
- Patient
- patient Gregory Ethan Harvey
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Medicaid
Record id
06e1cc1c-d3f8-b9cb-6575-2313007206d0