Claim total
$15,361.54
base $127.17 · payer covered $7,944.93
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2024-12-25
- Stop
- 2024-12-25
The parties
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Cigna Health
Record id
19bb9427-1101-2cda-6cac-5e0ccad902d4