Claim total
$9,018.61
base $127.17 · payer covered $7,200.15
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2018-12-22
- Stop
- 2018-12-22
The parties
- Patient
- patient Erich Leffler
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Medicare
Record id
2b764b05-4e2e-e4ab-4d5a-d80d2724ab21