Claim total
$4,992.38
base $127.17 · payer covered $4,957.38
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2020-10-05
- Stop
- 2020-10-05
The parties
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Dual Eligible
Record id
25b691b1-c349-2bb7-3485-354d97c73f1f