Claim total
$8,986.27
base $127.17 · payer covered $7,189.02
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2002-11-24
- Stop
- 2002-11-24
The parties
- Patient
- patient Alden Raul Grady
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Medicare
Record id
242df0d7-e6c5-1c3a-0cc5-e736b0816593