Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Overdose1149222004
- Start
- 2006-04-11
- Stop
- 2006-04-11
The parties
- Patient
- patient Vernetta Suzy Dooley
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
Record id
0baf4deb-667c-bea4-454c-0ba193c675bd