Claim total
$127.17
base $127.17 · payer covered $77.17
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2020-05-14
- Stop
- 2020-05-14
The parties
- Patient
- patient Juliane Schmitt
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Medicaid
Record id
2848461b-ec89-4e68-4433-36524f24d96d