Claim total
$538.47
base $127.17 · payer covered $430.78
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Gunshot wound283545005
- Start
- 2019-09-27
- Stop
- 2019-09-27
The parties
- Patient
- patient Barney Kraig Jast
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Medicare
Record id
220ee7db-972d-3106-d34a-1e0f4a8176bf