Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 2024-06-06
- Stop
- 2024-06-06
The parties
- Patient
- patient Gordon Hayden Herman
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Cigna Health
Record id
1841ad6f-b8a3-ad57-354f-98e488f1b9f8