Claim total
$949.77
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 1984-07-22
- Stop
- 1984-07-22
The parties
- Patient
- patient Luz Virginia Barrios
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer No insurance
Record id
17b8c9a8-0395-78a7-888a-e17c4699cfe1