Claim total
$3,935.75
base $127.17 · payer covered $3,136.73
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2025-07-30
- Stop
- 2025-07-30
The parties
- Patient
- patient Francine Ziemann
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Medicare
Record id
1f94a255-3b6e-f1dc-e34e-b182ff51ce65