Claim total
$127.17
base $127.17 · payer covered $101.74
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Burn injury48333001
- Start
- 2022-05-06
- Stop
- 2022-05-06
The parties
- Patient
- patient Vincenza Tobie Lynch
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Medicare
Record id
34ffbbb6-08c5-de08-6c9a-a207f5b4be0f