Claim total
$6,073.75
base $127.17 · payer covered $3,721.48
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2020-02-07
- Stop
- 2020-02-07
The parties
- Patient
- patient Melida Macejkovic
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer UnitedHealthcare
Record id
1a9f6319-20ff-b83b-3d50-351690551014