Claim total
$3,935.75
base $127.17 · payer covered $3,148.60
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2023-05-13
- Stop
- 2023-05-13
The parties
- Patient
- patient Justin Kutch
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer UnitedHealthcare
Record id
2d349c99-8b99-b208-e696-e959cf3fe97c