Claim total
$6,855.40
base $127.17 · payer covered $1,140.31
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2023-03-18
- Stop
- 2023-03-18
The parties
- Patient
- patient María Elena Eva Alanis
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Humana
Record id
364783e9-144b-a776-cf63-0355c48375e0