Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2023-02-27
- Stop
- 2023-02-27
The parties
- Patient
- patient Reyna Nia Legros
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Cigna Health
Record id
0783bf83-a77e-df51-e387-a327c7b71fbe