Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Burn injury48333001
- Start
- 2018-11-22
- Stop
- 2018-11-22
The parties
- Patient
- patient Grazyna Michele Walker
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer UnitedHealthcare
Record id
2f9e540c-0591-eff5-5dd3-2fa755edb74f