Claim total
$5,414.56
base $127.17 · payer covered $4,331.65
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2017-12-31
- Stop
- 2017-12-31
The parties
- Patient
- patient Kareem Beer
- Provider
- provider Claudia Bauch
- Care site
- care site THE VILLA AT ST LOUIS PARK
- Payer
- payer Medicare
Record id
1295a2c8-248a-fa48-9fb8-4c5ea0d638b0