Claim total
$3,935.75
base $127.17 · payer covered $3,885.75
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 1996-03-20
- Stop
- 1996-03-21
The parties
- Patient
- patient Crista Kristin Stehr
- Provider
- provider Claudia Bauch
- Care site
- care site THE VILLA AT ST LOUIS PARK
- Payer
- payer Medicaid
Record id
1ebf266f-db79-48d9-b26b-bcbe1a377c33