Claim total
$4,854.63
base $127.17 · payer covered $3,883.71
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2022-03-16
- Stop
- 2022-03-16
The parties
- Patient
- patient Mickey Turner
- Provider
- provider Claudia Bauch
- Care site
- care site THE VILLA AT ST LOUIS PARK
- Payer
- payer Medicare
Record id
1c58b7aa-3382-6851-3415-94f151074c3f