Claim total
$949.77
base $127.17 · payer covered $664.84
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2026-05-11
- Stop
- 2026-05-11
The parties
- Provider
- provider Camelia Hodkiewicz
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer Cigna Health
Record id
123ef959-e087-2800-0746-786dc6a2d833