Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 2020-02-03
- Stop
- 2020-02-03
The parties
- Patient
- patient Estela Denna Nitzsche
- Provider
- provider Bryce Prohaska
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer UnitedHealthcare
Record id
1b31263d-1117-7394-b5c6-497ea353bf76