Claim total
$127.17
base $127.17 · payer covered $101.74
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 1995-10-13
- Stop
- 1995-10-13
The parties
- Patient
- patient Brittaney Nichelle Veum
- Provider
- provider Claudia Bauch
- Care site
- care site THE VILLA AT ST LOUIS PARK
- Payer
- payer Medicare
Record id
0968e8e4-3725-c436-3010-0d68c8298880