Claim total
$4,028.88
base $127.17 · payer covered $2,085.59
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2014-12-16
- Stop
- 2014-12-16
The parties
- Patient
- patient George Carrol Gutmann
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer UnitedHealthcare
Record id
2cc338ea-5e9c-b6be-98cc-70a56ffe8b69