Claim total
$127.17
base $127.17 · payer covered $101.74
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Injury of neck90460009
- Start
- 2024-02-20
- Stop
- 2024-02-20
The parties
- Patient
- patient Kelvin Johnny Hirthe
- Provider
- provider Alia Gaylord
- Care site
- care site MIDWEST HOME HEALTHCARE LLC
- Payer
- payer Medicare
Record id
292b5aae-02fc-4e2f-d89b-4845e2d0eda1