Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 1994-12-16
- Stop
- 1994-12-17
The parties
- Patient
- patient Jonathon Elroy Borer
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer No insurance
Record id
13917145-8746-415a-1854-03d2cfc625ae