Claim total
$949.77
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2024-03-27
- Stop
- 2024-03-27
The parties
- Patient
- patient Nona Samara Gleichner
- Provider
- provider Camelia Hodkiewicz
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer Humana
Record id
0042ca65-dd9d-7221-bd59-da9aaf5657ca