Claim total
$127.17
base $127.17 · payer covered $71.70
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Burn injury48333001
- Start
- 2018-12-01
- Stop
- 2018-12-02
The parties
- Patient
- patient Normand Lucien Harris
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Medicare
Record id
161d8071-f429-ba77-f132-2c43741a62ae