Claim total
$16,569.23
base $127.17 · payer covered $9,817.68
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2021-09-14
- Stop
- 2021-09-14
The parties
- Patient
- patient Josh Monahan
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Cigna Health
Record id
03f57d95-a536-8def-a9a0-65dab11cd08e