Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 2016-12-27
- Stop
- 2016-12-27
The parties
- Patient
- patient Cleo Gutmann
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer No insurance
Record id
226a6af6-0685-9d5b-d23f-7ebd88a97fe8