Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Burn injury48333001
- Start
- 2021-08-04
- Stop
- 2021-08-04
The parties
- Patient
- patient Jenae Donette Kuhlman
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Humana
Record id
2cd4fc8f-80c5-4044-d442-bc94653af7ce