Claim total
$127.17
base $127.17 · payer covered $89.02
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 2016-10-08
- Stop
- 2016-10-08
The parties
- Patient
- patient Eileen Nicolette Blanda
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
Record id
1e15063e-b453-6e17-51fe-d458c8155741