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
- 2022-12-18
- Stop
- 2022-12-18
The parties
- Patient
- patient Kareem Randy Hauck
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Medicaid
Record id
1ecb07a6-4b5c-4a69-9368-782be9311447