Claim total
$933.96
base $127.17 · payer covered $747.16
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- —
- Start
- 2019-07-03
- Stop
- 2019-07-03
The parties
- Patient
- patient Gene Erin Wehner
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Medicare
Record id
0324eea5-bb16-c29a-4c87-b2be5478d491