Claim total
$949.77
base $127.17 · payer covered $489.30
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2017-01-24
- Stop
- 2017-01-24
The parties
- Provider
- provider Camelia Hodkiewicz
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer UnitedHealthcare
Record id
19b87c0d-b841-18cf-4f40-189a055b421f