Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2020-10-13
- Stop
- 2020-10-13
The parties
- Patient
- patient Galen Jordan Halvorson
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Cigna Health
Record id
1723e6a0-45b9-86f1-5e79-d0de22d7cc32