Claim total
$9,090.35
base $127.17 · payer covered $4,487.29
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2024-10-08
- Stop
- 2024-10-08
The parties
- Patient
- patient Ivory White
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
Record id
1229d65c-3256-9004-2e11-3af885eb42a5