Claim total
$7,241.04
base $127.17 · payer covered $7,191.04
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2024-07-01
- Stop
- 2024-07-01
The parties
- Patient
- patient Assunta Ferry
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Medicaid
Record id
3acf70ac-a702-cd75-2eeb-93cf6eccf9d2