Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Concussion injury of brain110030002
- Start
- 2024-01-10
- Stop
- 2024-01-10
The parties
- Patient
- patient Wilmer Kenton Medhurst
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
Record id
29eb9345-33b6-3d58-c3da-61b59cf2518b