Claim total
$10,471.73
base $127.17 · payer covered $7,389.58
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2023-12-10
- Stop
- 2023-12-10
The parties
- Patient
- patient Elijah Salvador Beatty
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Anthem
Record id
3815dfc0-6518-73bc-9364-2ae04122104a