Claim total
$949.77
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2019-12-02
- Stop
- 2019-12-02
The parties
- Patient
- patient Gerardo Osinski
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer No insurance
Record id
0c2d0fb1-278d-5dfb-621e-8aa7de10dcf1