Claim total
$10,483.07
base $127.17 · payer covered $6,048.78
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2022-04-04
- Stop
- 2022-04-04
The parties
- Patient
- patient Barney VonRueden
- Provider
- provider Bryce Prohaska
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer Cigna Health
Record id
31c33955-2205-e53d-3874-b4e29c97b699