Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Overdose1149222004
- Start
- 2006-01-03
- Stop
- 2006-01-03
The parties
- Patient
- patient Loma Tawanna Ferry
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer No insurance
Record id
04384da7-7311-e99a-e0b8-96bd6e4559ef