Claim total
$10,413.92
base $127.17 · payer covered $10,363.92
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2026-03-07
- Stop
- 2026-03-07
The parties
- Patient
- patient Marc Ricky Gleason
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Medicaid
Record id
3876a6d0-4d16-b874-97c5-52c505eb15c9