Claim total
$538.47
base $127.17 · payer covered $388.47
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of knee125601008
- Start
- 2018-03-25
- Stop
- 2018-03-25
The parties
- Patient
- patient Jesse Lucas Rowe
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Medicaid
Record id
16996bed-1187-99fd-0549-489aff5b21cc