Claim total
$4,992.38
base $127.17 · payer covered $1,623.28
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2017-11-23
- Stop
- 2017-11-23
The parties
- Patient
- patient Cleo Watsica
- Provider
- provider Camelia Hodkiewicz
- Care site
- care site CHI HEALTH AT HOME
Record id
017647b2-914f-2bdf-d959-355e9037d5a7