Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Chronic intractable migraine without aura124171000119105
- Start
- 1997-09-06
- Stop
- 1997-09-06
The parties
- Patient
- patient Britany Kerrie West
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer No insurance
Record id
02a95708-afbd-de6b-637c-8b6bd09edd6a