Claim total
$16,061.19
base $127.17 · payer covered $12,848.96
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2026-07-09
- Stop
- 2026-07-09
The parties
- Patient
- patient Ollie Schuppe
- Provider
- provider Bryce Prohaska
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer Medicare
Record id
0e60156d-05cf-220c-2fcb-bf47c225374e