Claim total
$127.17
base $127.17 · payer covered $101.74
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 2018-02-03
- Stop
- 2018-02-03
The parties
- Patient
- patient Adolph Winford Hyatt
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Medicare
Record id
1da1ccef-4f88-f506-95ab-2430f6b59137