Claim total
$949.77
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2018-02-12
- Stop
- 2018-02-12
The parties
- Patient
- patient Larry Agatha Streich
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer No insurance
Record id
097b8462-48ec-547b-c538-2622b25b8fa7