Claim total
$8,843.79
base $127.17 · payer covered $1,708.43
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2025-07-08
- Stop
- 2025-07-08
The parties
- Patient
- patient María Elena Eva Alanis
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Humana
Record id
364783e9-144b-a776-9ec3-fcc0f5cc33cc