Claim total
$14,304.30
base $127.17 · payer covered $9,729.98
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2022-01-13
- Stop
- 2022-01-13
The parties
- Patient
- patient Lynda Carissa Wiza
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
Record id
11b58047-9562-e585-ad73-2fcffae8eae2