Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2018-06-17
- Stop
- 2018-06-17
The parties
- Patient
- patient Carmelita Farrah Dickens
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
Record id
37c463f3-d1db-fbc4-a9c7-2d82cc429db9