Claim total
$3,668.70
base $127.17 · payer covered $291.97
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2017-05-24
- Stop
- 2017-05-24
The parties
- Patient
- patient Gustavo Ramón Montes
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
Record id
13009785-d7c3-f08f-d9ce-f5711df7047c