Claim total
$102,554.97
base $76.30 · payer covered $81,325.49
The visit
- Class
- Emergency
- Code
- 185347001
- Reason
- diagnosis concept Sepsis91302008
- Start
- 2025-06-07
- Stop
- 2025-06-29
The parties
- Patient
- patient Heriberto Orval Feest
- Provider
- provider Camelia Hodkiewicz
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer UnitedHealthcare
Record id
04dd6dd9-2faa-05da-f282-e92194003625