Claim total
$127.17
base $127.17 · payer covered $101.74
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 2009-02-22
- Stop
- 2009-02-22
The parties
- Patient
- patient Alden Raul Grady
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Medicare
Record id
242df0d7-e6c5-1c3a-91c1-06555a23037a