Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Concussion injury of brain110030002
- Start
- 2025-08-02
- Stop
- 2025-08-02
The parties
- Patient
- patient Rodger Octavio Funk
- Provider
- provider Camelia Hodkiewicz
- Care site
- care site CHI HEALTH AT HOME
Record id
20308c79-b2b4-60f9-ff46-9f2e8c81d851