Claim total
$949.77
base $127.17 · payer covered $719.68
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2018-05-09
- Stop
- 2018-05-09
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-dfd4-83d7-6803580722ad