Claim total
$949.77
base $127.17 · payer covered $313.11
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2025-10-10
- Stop
- 2025-10-10
The parties
- Patient
- patient Bobby Walter Rowe
- Provider
- provider Claudia Bauch
- Care site
- care site THE VILLA AT ST LOUIS PARK
- Payer
- payer UnitedHealthcare
Record id
340d6d1c-e156-2a6a-7f1d-958520e3646a