Claim total
$538.47
base $127.17 · payer covered $488.47
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Gunshot wound283545005
- Start
- 2018-03-28
- Stop
- 2018-03-28
The parties
- Patient
- patient Joshua Tyesha Wuckert
- Provider
- provider Davida Wolff
- Payer
- payer Medicaid
Record id
0c6cfdb0-0d6a-b176-7941-5b0ecf5d15f0