Claim total
$949.77
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2017-12-08
- Stop
- 2017-12-08
The parties
- Patient
- patient Paulette Schmeler
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
Record id
171e258e-513d-6cbb-f177-0cec28253dbe