Claim total
$11,936.49
base $127.17 · payer covered $11,886.49
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2023-09-19
- Stop
- 2023-09-19
The parties
- Patient
- patient Joella Violeta Sporer
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Medicaid
Record id
0a7a7021-852c-fad5-a8a1-d1dcbac64e3d