Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 2023-10-23
- Stop
- 2023-10-23
The parties
- Patient
- patient Kanisha Rohan
- Provider
- provider Claudia Bauch
- Care site
- care site THE VILLA AT ST LOUIS PARK
Record id
0c9872cf-8e0e-29cf-cff2-8eaa4323474b