Claim total
$949.77
base $127.17 · payer covered $899.77
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2009-09-03
- Stop
- 2009-09-03
The parties
- Patient
- patient Zada Clair Kovacek
- Provider
- provider Claudia Bauch
- Care site
- care site THE VILLA AT ST LOUIS PARK
- Payer
- payer Medicaid
Record id
10c7f1c8-ab80-e90a-51d5-0868f6570880