Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 2019-06-02
- Stop
- 2019-06-02
The parties
- Patient
- patient Milton Young Bradtke
- Provider
- provider Camelia Hodkiewicz
- Care site
- care site CHI HEALTH AT HOME
Record id
12d4702a-cee1-947a-259a-c982dfebc9c4