Claim total
$5,795.08
base $127.17 · payer covered $4,636.07
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2019-01-21
- Stop
- 2019-01-22
The parties
- Patient
- patient Guadalupe Andres Mayert
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Medicare
Record id
1710a38f-72a0-b102-fefe-845c57fa41cc