Claim total
$7,264.18
base $127.17 · payer covered $7,214.18
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- —
- Start
- 2013-10-05
- Stop
- 2013-10-05
The parties
- Patient
- patient Demetrius Kellye Brown
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Medicaid
Record id
34d00a16-aef5-c007-b3da-8d1d97fd6bb7