Claim total
$10,088.12
base $127.17 · payer covered $8,070.50
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2024-11-21
- Stop
- 2024-11-21
The parties
- Patient
- patient Ken Denis Bruen
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Medicare
Record id
2c1903af-1e0f-9f28-3229-b6eb1fb17cfd