Claim total
$6,863.41
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2014-02-09
- Stop
- 2014-02-09
The parties
- Patient
- patient Weldon Normand Rohan
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer No insurance
Record id
07811815-599c-8e38-fd43-65a665fd89c3