Claim total
$538.47
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of knee125601008
- Start
- 2016-10-01
- Stop
- 2016-10-01
The parties
- Patient
- patient Williams Mauricio Boehm
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Humana
Record id
28bac566-789e-d07d-1bcb-6872eb4ec03e