Claim total
$127.17
base $127.17 · payer covered $101.74
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2023-03-21
- Stop
- 2023-03-21
The parties
- Patient
- patient Yael Cinthia Hoeger
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer UnitedHealthcare
Record id
0864bd80-b403-90d7-23f6-184461e0449a