Claim total
$15,361.54
base $127.17 · payer covered $15,311.54
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2023-02-22
- Stop
- 2023-02-22
The parties
- Patient
- patient Beatriz Senger
- Provider
- provider Sau Wiegand
- Care site
- care site MVNA
- Payer
- payer Medicaid
Record id
3ae0d881-2393-7e00-f547-2e0ffe781a3d