Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Overdose1149222004
- Start
- 2011-05-23
- Stop
- 2011-05-23
The parties
- Patient
- patient Marya Laronda Hand
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Medicaid
Record id
23751e2f-eb63-35d9-d47e-0c91a21968b2