Claim total
$76.30
base $76.30 · payer covered $26.30
The visit
- Class
- Emergency
- Code
- 183452005
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 1990-04-29
- Stop
- 1990-04-29
The parties
- Patient
- patient Ángela Carlota Lovato
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Medicaid
Record id
0465c17f-66cb-2155-ab93-4d74e39a0f8d