Claim total
$949.77
base $127.17 · payer covered $759.82
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2023-04-14
- Stop
- 2023-04-14
The parties
- Patient
- patient Francine Ziemann
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Medicare
Record id
1f94a255-3b6e-f1dc-d5e4-397f77a5408a