Claim total
$4,992.38
base $127.17 · payer covered $4,942.38
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2010-05-19
- Stop
- 2010-05-19
The parties
- Patient
- patient Lynn Catrina Keebler
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Medicaid
Record id
1ce83e5f-4669-f644-2ea0-95ca32467a36