Claim total
$127.17
base $127.17 · payer covered $101.74
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Burn injury48333001
- Start
- 2025-02-18
- Stop
- 2025-02-18
The parties
- Patient
- patient Sondra Gulgowski
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer UnitedHealthcare
Record id
2e0bbae3-fedc-a0c8-2e27-3dcb98ffd467