Claim total
$6,991.30
base $127.17 · payer covered $753.11
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2026-04-30
- Stop
- 2026-04-30
The parties
- Patient
- patient Myrta Luanne Johnson
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Aetna
Record id
0903385c-bf8b-2f31-60ae-eef347e7df4b