Claim total
$949.77
base $127.17 · payer covered $759.82
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2014-10-31
- Stop
- 2014-10-31
The parties
- Patient
- patient María José Vargas
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Anthem
Record id
13ea9f41-3249-238d-02ef-53d818832ff3