Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Overdose1149222004
- Start
- 1996-04-05
- Stop
- 1996-04-05
The parties
- Patient
- patient Keith Marquis Ritchie
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Medicaid
Record id
30a39716-1c18-1f3a-e6f4-ea41c86ba8fd