Claim total
$9,467.72
base $127.17 · payer covered $3,404.44
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2020-02-27
- Stop
- 2020-02-27
The parties
- Patient
- patient Jermaine Minh Torphy
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Aetna
Record id
287b245c-eac5-b875-4a32-7cf6711e271b