Claim total
$949.77
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2019-06-14
- Stop
- 2019-06-14
The parties
- Patient
- patient Merna Margarite Steuber
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Humana
Record id
208057d5-5848-9154-f658-ce650964b0bd