Claim total
$76.30
base $76.30 · payer covered $76.30
The visit
- Class
- Emergency
- Code
- 183452005
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2008-05-27
- Stop
- 2008-05-27
The parties
- Patient
- patient Vella Divina Renner
- Provider
- provider Camelia Hodkiewicz
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer UnitedHealthcare
Record id
02404bb7-0f7d-3a30-7cb6-0ba45fb6b67e