Claim total
$127.17
base $127.17 · payer covered $127.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Burn injury48333001
- Start
- 2018-07-24
- Stop
- 2018-07-24
The parties
- Patient
- patient Suzy Alyson Gutmann
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Humana
Record id
172e3d48-7ef1-d07b-a219-87bf5ff45480