Claim total
$949.77
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2021-05-18
- Stop
- 2021-05-18
The parties
- Patient
- patient Nickolas Conrad Deckow
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
Record id
38121e91-e443-9587-fa7a-d947bb7972bc