Claim total
$7,724.46
base $127.17 · payer covered $7,689.46
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2020-10-10
- Stop
- 2020-10-10
The parties
- Provider
- provider Claudia Bauch
- Care site
- care site THE VILLA AT ST LOUIS PARK
- Payer
- payer Dual Eligible
Record id
389a6c0d-c9f5-2cd8-17cb-db5729f39b25