Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2018-08-03
- Stop
- 2018-08-03
The parties
- Patient
- patient Jimmie Honey Cummerata
- Provider
- provider Camelia Hodkiewicz
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer No insurance
Record id
272fac88-009d-4e15-501b-e8d41b1333b5