Claim total
$949.77
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2021-12-29
- Stop
- 2021-12-29
The parties
- Patient
- patient Michael Forrest Rempel
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Humana
Record id
2fae7a06-e7f5-19fb-2574-58a7cb49ab88