Claim total
$949.77
base $127.17 · payer covered $759.82
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Fracture of bone125605004
- Start
- 2026-06-26
- Stop
- 2026-06-26
The parties
- Patient
- patient Bryant Lindsey Kris
- Provider
- provider Camelia Hodkiewicz
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer Medicare
Record id
01c56dba-0d82-4ea3-8394-6a4e1bee8dd6