Claim total
$8,992.77
base $127.17 · payer covered $8,942.77
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2019-02-01
- Stop
- 2019-02-01
The parties
- Patient
- patient Adah Kertzmann
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Medicaid
Record id
342e9f11-a9b7-436c-a4c8-75778c8b3371