Claim total
$19,588.09
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 1971-12-20
- Stop
- 1971-12-20
The parties
- Patient
- patient Fredrick Vito Pagac
- Provider
- provider Camelia Hodkiewicz
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer No insurance
Record id
18ec6897-232a-8579-00ba-7e86ba150b9f