Claim total
$949.77
base $127.17 · payer covered $759.82
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2020-07-06
- Stop
- 2020-07-06
The parties
- Patient
- patient Xiomara Morar
- Provider
- provider Davida Wolff
- Payer
- payer UnitedHealthcare
Record id
1a249129-b6ba-5fad-f44c-079bc2bf2bbd