Claim total
$538.47
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of knee125601008
- Start
- 2017-08-16
- Stop
- 2017-08-16
The parties
- Patient
- patient Allen Trent Mann
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Humana
Record id
007bcc47-8ca5-7eab-505a-454bc197df94