Claim total
$7,295.18
base $127.17 · payer covered $7,245.18
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2018-07-24
- Stop
- 2018-07-25
The parties
- Patient
- patient Russel Zackary Murphy
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Medicaid
Record id
1e0ff26b-a73e-c0bd-7094-a683931c8987