Claim total
$538.47
base $127.17 · payer covered $430.78
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of knee125601008
- Start
- 2010-08-03
- Stop
- 2010-08-03
The parties
- Patient
- patient Latasha Crist
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Medicare
Record id
0fc193c9-8970-9d72-aee2-9c142354c4f7