Claim total
$538.47
base $127.17 · payer covered $430.78
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of knee125601008
- Start
- 2024-02-12
- Stop
- 2024-02-12
The parties
- Patient
- patient Zita Sharita Baumbach
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Anthem
Record id
15e93d16-025d-6783-bd2a-36a30e1532a2