Claim total
$949.77
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2024-09-03
- Stop
- 2024-09-03
The parties
- Patient
- patient Neomi Martina Hessel
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Humana
Record id
3532acad-2415-19d2-8e09-ba17313974c6