Claim total
$10,623.34
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2021-10-26
- Stop
- 2021-10-26
The parties
- Patient
- patient Rufus Milford Koelpin
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer No insurance
Record id
3a95383e-dcb8-456a-542c-f4db1733c6df