Claim total
$16,418.17
base $127.17 · payer covered $16,418.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2025-11-23
- Stop
- 2025-11-23
The parties
- Patient
- patient Susann Ayana Armstrong
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Humana
Record id
35733f82-dba4-4fce-d4dc-8ca9a35abda1