Claim total
$949.77
base $127.17 · payer covered $455.67
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2025-06-05
- Stop
- 2025-06-05
The parties
- Patient
- patient Brian Becker
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
Record id
02d05adc-d769-f526-d08f-44cf79343f92