Claim total
$6,825.83
base $127.17 · payer covered $5,460.66
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2019-04-11
- Stop
- 2019-04-11
The parties
- Patient
- patient Kelley Bradtke
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Medicare
Record id
2237710c-939d-74db-8e86-d91871f0b3ee