Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 2016-09-16
- Stop
- 2016-09-16
The parties
- Patient
- patient Estrella Roberts
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Aetna
Record id
0d52cfe9-7506-88f4-3829-ff8b846c0e45