Claim total
$3,668.70
base $127.17 · payer covered $2,934.96
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2020-10-07
- Stop
- 2020-10-07
The parties
- Patient
- patient Ignacio Valentin Thiel
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Anthem
Record id
1a3239f1-ef20-fa58-9fc7-3b5bf3d83fc5