Claim total
$5,770.79
base $127.17 · payer covered $5,770.79
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2018-08-09
- Stop
- 2018-08-09
The parties
- Patient
- patient Eliz Celsa Lind
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer UnitedHealthcare
Record id
26a2abe5-b204-1dff-476b-a6f8fb91fcfc