Claim total
$5,278.06
base $127.17 · payer covered $4,222.45
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 1992-01-01
- Stop
- 1992-01-01
The parties
- Patient
- patient Nevada Wonda Konopelski
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Medicare
Record id
31d69929-3dc2-161a-17f2-d2d88752f68c