Claim total
$6,995.65
base $127.17 · payer covered $5,596.52
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2018-05-21
- Stop
- 2018-05-21
The parties
- Patient
- patient Jake Jeremy Osinski
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Medicare
Record id
0dfbe012-8ee8-d7ad-d608-c98d06302d63