Claim total
$3,935.75
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2018-01-02
- Stop
- 2018-01-02
The parties
- Patient
- patient Mickey Goldner
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Aetna
Record id
39934531-f753-1291-ba48-ba5ef0ded48c