Claim total
$949.77
base $127.17 · payer covered $610.98
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2022-11-30
- Stop
- 2022-11-30
The parties
- Patient
- patient Curtis Aubrey Howe
- Provider
- provider Alia Gaylord
- Care site
- care site MIDWEST HOME HEALTHCARE LLC
- Payer
- payer Medicare
Record id
10d92ea2-fcd5-f0bc-9188-4b18c1f14f2d