Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 2020-08-02
- Stop
- 2020-08-02
The parties
- Patient
- patient Andrea Chris Lebsack
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Anthem
Record id
1759b87f-1a83-c024-6cfc-4487951bb7bd