Claim total
$15,361.54
base $127.17 · payer covered $12,289.24
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2022-10-15
- Stop
- 2022-10-15
The parties
- Patient
- patient Emil Valentin Howell
- Provider
- provider Bryce Prohaska
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer Medicare
Record id
3646307f-5ee7-dfd4-0818-f9dd1b95994d