Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 2024-10-17
- Stop
- 2024-10-17
The parties
- Patient
- patient Leigh Nadia Hodkiewicz
- Provider
- provider Claudia Bauch
- Care site
- care site THE VILLA AT ST LOUIS PARK
- Payer
- payer Humana
Record id
10cfa374-c64c-8ed7-5910-c56e7aa2d4f8