Claim total
$5,075.44
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 183460006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-09-26
- Stop
- 2018-09-26
The parties
- Patient
- patient Carlyn Donita Ortiz
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer No insurance
Record id
00e3929f-91f8-0715-e54a-6f6756b27d28