Claim total
$949.77
base $127.17 · payer covered $949.77
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2017-11-16
- Stop
- 2017-11-17
The parties
- Patient
- patient Sue Clorinda Gleichner
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
Record id
1569b433-cb14-321e-f4c2-bbe09962f8e1