Claim total
$7,250.48
base $127.17 · payer covered $7,215.48
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2017-03-25
- Stop
- 2017-03-25
The parties
- Patient
- patient Dione Ernser
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Dual Eligible
Record id
0bf6e6c4-0773-250a-810c-42ec7bc143f8