Claim total
$8,158.01
base $127.17 · payer covered $3,690.36
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2021-04-11
- Stop
- 2021-04-11
The parties
- Patient
- patient Lisabeth Eleonora Jacobs
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
Record id
1e25f1c3-be93-eaea-4302-d17b7619d958