Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2019-04-07
- Stop
- 2019-04-07
The parties
- Patient
- patient Berry Aaron Deckow
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer No insurance
Record id
03959b6c-660d-eecd-c399-07b83f05a436