Claim total
$4,437.60
base $127.17 · payer covered $5.52
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2022-09-12
- Stop
- 2022-09-12
The parties
- Patient
- patient Carmelita Farrah Dickens
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
Record id
37c463f3-d1db-fbc4-67ee-0d372e9dadcc