Claim total
$10,358.66
base $127.17 · payer covered $7,251.06
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2021-08-11
- Stop
- 2021-08-11
The parties
- Patient
- patient Lenna Floretta Johns
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
Record id
19432449-afef-e532-b70e-67dfea06394e