Claim total
$76.30
base $76.30 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 183452005
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 1990-10-10
- Stop
- 1990-10-10
The parties
- Patient
- patient Loma Tawanna Ferry
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer No insurance
Record id
04384da7-7311-e99a-e0bd-d744d863e9fb