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Visit

Emergency room admission

One dated clinical visit by one patient.

Neighborhood Provenance
Claim total
$127.17
base $127.17 · payer covered $92.17

The visit

Class
Emergency
Code
50849002
Reason
diagnosis concept Traumatic injury of spinal cord and/or vertebral column262521009
Start
2019-03-19
Stop
2019-03-22

The parties

Patient
patient Efren Wilderman
Provider
provider Sau Wiegand
Care site
care site MVNA
Payer
payer Dual Eligible
Record id 0400ef40-232f-be7a-2486-ea9ec60b77fc