Claim total
$4,854.63
base $127.17 · payer covered $3,883.71
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2026-04-14
- Stop
- 2026-04-14
The parties
- Patient
- patient Dino Forrest Leuschke
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Medicare
Record id
2d2c8cd2-088a-6e99-592d-a6a392120eb9