Claim total
$20,356.72
base $127.17 · payer covered $16,255.14
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2023-03-23
- Stop
- 2023-03-23
The parties
- Patient
- patient Devon Dwight Leuschke
- Provider
- provider Alia Gaylord
- Care site
- care site MIDWEST HOME HEALTHCARE LLC
- Payer
- payer Medicare
Record id
346c747a-f14d-f67f-3f2f-4ce1b0b34f70