Claim total
$538.47
base $127.17 · payer covered $292.80
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of knee125601008
- Start
- 2017-01-28
- Stop
- 2017-01-28
The parties
- Patient
- patient Erick Grady
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Medicare
Record id
2d56633f-71fd-d363-a1b1-ae90d86eab26