Claim total
$4,854.63
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 1983-07-10
- Stop
- 1983-07-10
The parties
- Patient
- patient Man Jerrold Larkin
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer No insurance
Record id
069b5965-af71-2dc0-f75d-ff0af66e1715