Claim total
$127.17
base $127.17 · payer covered $127.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Concussion injury of brain110030002
- Start
- 2016-08-28
- Stop
- 2016-08-29
The parties
- Patient
- patient Sue Clorinda Gleichner
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
Record id
1569b433-cb14-321e-a025-e0df106607aa