Claim total
$6,971.49
base $127.17 · payer covered $6,921.49
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2026-06-14
- Stop
- 2026-06-14
The parties
- Patient
- patient An Wenona Rau
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Medicaid
Record id
04682680-f77d-0a00-5aa7-5c53129cf995