Claim total
$5,770.14
base $127.17 · payer covered $4,616.12
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2021-05-12
- Stop
- 2021-05-12
The parties
- Patient
- patient Minnie Glenna Hilpert
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Medicare
Record id
164073e3-ecac-90a2-56ee-936aa78d9911