Claim total
$6,063.09
base $127.17 · payer covered $4,850.48
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2022-02-11
- Stop
- 2022-02-11
The parties
- Patient
- patient Keith Blake Smith
- Provider
- provider Claudia Bauch
- Care site
- care site THE VILLA AT ST LOUIS PARK
- Payer
- payer Medicare
Record id
1287b12a-d9e6-c5db-9262-4e8d25edd899