Claim total
$538.47
base $127.17 · payer covered $538.47
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of knee125601008
- Start
- 2025-10-05
- Stop
- 2025-10-05
The parties
- Patient
- patient Matha Wanetta Greenholt
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Cigna Health
Record id
38475c93-5cdf-8ed5-96d1-0c4b541bf0b5