Claim total
$4,854.63
base $127.17 · payer covered $3,883.71
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2020-05-20
- Stop
- 2020-05-20
The parties
- Patient
- patient Guadalupe Andres Mayert
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Medicare
Record id
1710a38f-72a0-b102-3f4d-d65f8a411d8e