Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2023-07-03
- Stop
- 2023-07-03
The parties
- Patient
- patient Rochelle Hsiu Murray
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer UnitedHealthcare
Record id
0bad7c4e-e238-1217-8aa5-fb0653620c65