Claim total
$13,032.21
base $127.17 · payer covered $10,378.06
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2017-11-24
- Stop
- 2017-11-24
The parties
- Patient
- patient Krystal Austin Watsica
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Medicare
Record id
18173180-66f6-5f0e-ff32-6c03b5a875e2