Claim total
$127.17
base $127.17 · payer covered $101.74
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2017-12-18
- Stop
- 2017-12-18
The parties
- Patient
- patient Collin Vance Hoeger
- Provider
- provider Bryce Prohaska
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer Medicare
Record id
3ab2fb2c-4f8f-5401-ac5e-31ef988fcc39