Claim total
$949.77
base $127.17 · payer covered $677.43
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2025-09-26
- Stop
- 2025-09-26
The parties
- Patient
- patient Gudrun Corwin
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer UnitedHealthcare
Record id
12419212-f853-a7dc-bc1d-cd68abd710eb