Claim total
$3,935.75
base $127.17 · payer covered $2,962.20
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2018-08-23
- Stop
- 2018-08-23
The parties
- Patient
- patient Daniel Carlos Acosta
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Medicare
Record id
1bc96a10-ad49-d71d-9b9c-0b0c6d08ffd9