Claim total
$7,770.92
base $127.17 · payer covered $1,229.37
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2017-04-25
- Stop
- 2017-04-25
The parties
- Patient
- patient Twila Sona Willms
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Humana
Record id
33f82e9f-b4fc-f845-33dd-8663eb114b86