Claim total
$127.17
base $127.17 · payer covered $127.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Burn injury48333001
- Start
- 2019-07-10
- Stop
- 2019-07-10
The parties
- Patient
- patient Gisela Alexander Yost
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Humana
Record id
1a7dfad4-d894-171e-6564-817e28a0d482