Claim total
$949.77
base $127.17 · payer covered $759.82
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2026-04-20
- Stop
- 2026-04-20
The parties
- Patient
- patient Donnie Walton Murazik
- Provider
- provider Camelia Hodkiewicz
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer Medicare
Record id
2f90a40b-d771-5e53-6919-37759a62cca8