Claim total
$3,935.75
base $127.17 · payer covered $3,040.28
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2018-12-03
- Stop
- 2018-12-03
The parties
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Medicare
Record id
2c592f19-912d-3aa0-25a4-0bde263df84e